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Related Experiment Video

Updated: Sep 18, 2025

A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva

Published on: January 12, 2019

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Outcomes of Reconstructing Lower Lid Defects Using Midface Lifting and Full-Thickness Skin Grafts.

Hyeokjae Kwon1, Sunje Kim1, Sang-Ha Oh1,2

  • 1Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital.

The Journal of Craniofacial Surgery
|June 20, 2025
PubMed
Summary

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Midface lifts combined with skin grafts effectively reconstruct lower eyelid defects, restoring both function and appearance. This approach offers satisfactory cosmetic and functional outcomes for patients.

Area of Science:

  • Oculoplastic surgery
  • Facial reconstruction

Background:

  • Lower eyelid defects necessitate reconstructive surgery, often involving flaps or grafts.
  • The lower eyelid is crucial for both cosmetic appearance and midfacial function.

Purpose of the Study:

  • To evaluate cosmetic and functional results of midface lift and skin grafting for lower eyelid defects.
  • To determine the efficacy of single or combined techniques based on defect characteristics.

Main Methods:

  • A retrospective study of 142 patients with lower eyelid skin defects (2012-2020).
  • 128 patients underwent superficial cheek lifts or subperiosteal midface lifts.
  • 14 patients received simultaneous midface lifts and skin grafts for lower eyelid reconstruction.

Main Results:

Keywords:
Lower lid reconstructionmidface liftsubciliary

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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
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  • Midface lift techniques were employed for medial and lateral lower eyelid defects.
  • Superficial cheek lifts were used for defects <1.5 cm; subperiosteal midface lifts for defects 1.5-2 cm.
  • Subperiosteal midface lift with skin grafting was performed for larger defects.

Conclusions:

  • Midface lift with skin grafting can achieve excellent functional and cosmetic results in lower eyelid reconstruction.
  • Aligning postoperative scars with the subciliary area enhances aesthetic outcomes.
  • This combined approach provides a reliable solution for various lower eyelid defects.