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A New Preoperative Upright Design for Dermatochalasis Correction
Ben Chen1, David Meng-da Woo2, Jia Liu1
1Eye Hospital of Wenzhou Medical University, Wenzhou, China.
The Journal of Craniofacial Surgery
|February 3, 2021
Summary
A new preoperative upright design (PUD) for dermatochalasis correction accurately measures upper eyelid skin excision. This method accounts for gravity, leading to improved symmetry and natural-looking double eyelids in most patients.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Conventional dermatochalasis correction relies on supine positioning, neglecting gravitational effects on upper eyelids.
- This can result in postoperative asymmetry, impacting aesthetic outcomes.
Purpose of the Study:
- To introduce and evaluate a novel preoperative upright design (PUD) for precise upper eyelid skin excision in dermatochalasis correction.
- To assess the efficacy of PUD in achieving symmetric and aesthetically pleasing double eyelid folds.
Main Methods:
- Patients with dermatochalasis underwent blepharoplasty utilizing the PUD technique.
- Follow-up assessments were conducted over a 9 to 15-month period to evaluate outcomes.
Main Results:
- The PUD method allowed for accurate skin excision measurements, resulting in improved margin fold distance post-surgery (P < 0.05).
- Over 92% of patients achieved "good" outcomes with natural, symmetric double eyelid folds.
- No patients experienced "poor" outcomes, indicating high safety and efficacy.
Conclusions:
- The preoperative upright design (PUD) is a simple, effective technique for blepharoplasty in dermatochalasis.
- PUD accurately determines skin excision, leading to symmetric double eyelids and high patient satisfaction.
