Related Experiment Video
Updated: Jun 10, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Modified Infrabrow Blepharoplasty Incorporating Skin-Orbicularis Repositioning
1TANAKA clinic, Plastic and Aesthetic Surgery, Marugamemachi 1-1, Takamatsu, Japan. yoshiman@juno.ocn.ne.jp.
Aesthetic Plastic Surgery
|June 8, 2026
Summary
A modified infrabrow blepharoplasty effectively treats upper eyelid dermatochalasis, improving contour and patient satisfaction. This technique avoids deformities common with standard blepharoplasty, offering a smoother aesthetic outcome.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Upper eyelid dermatochalasis treatment often involves infrabrow blepharoplasty with elliptical skin excision.
- This standard technique can lead to undesirable skin wrinkles post-surgery.
- Addressing the pathophysiology requires lifting lateral skin and orbicularis oculi muscle superiorly and medially.
Purpose of the Study:
- To present a modified infrabrow blepharoplasty technique incorporating skin-orbicularis repositioning.
- To evaluate the efficacy and patient satisfaction of this modified surgical approach.
Main Methods:
- Retrospective review of 41 patients undergoing the modified procedure with at least six months follow-up.
- Levator muscle function assessed (>10 mm).
- Surgical outcomes evaluated using the Strasser Grading System (SGS) and patient satisfaction questionnaires.
Main Results:
- Smooth upper eyelid contour observed from the early postoperative period.
- Good to excellent results in surgical scar assessment (SGS) at six months.
- High patient satisfaction reported regarding infrabrow scars and overall outcomes.
Conclusions:
- The modified infrabrow blepharoplasty is effective for severe upper eyelid skin laxity.
- This technique successfully avoids postoperative eyelid deformities associated with conventional methods.
- The procedure leads to satisfactory aesthetic results and high patient satisfaction.
Related Concept Videos
01:20Muscles of the Eye
The muscles of the eye are sophisticated structures that control eye movement and focus, allowing for the precise and rapid adjustments necessary for vision. The human eye is controlled by ten muscles — six extraocular muscles, three intraocular muscles, and one primary eyelid retractor muscle.
Extraocular Muscles
The six extraocular muscles surround the eyeball and control its movements. They are responsible for a wide range of eye motions, including looking up, down, left, right, and rotating...
Extraocular Muscles
The six extraocular muscles surround the eyeball and control its movements. They are responsible for a wide range of eye motions, including looking up, down, left, right, and rotating...
01:17Accessory Structures of the Eye
Optical perception, or vision, is an extraordinary sense dependent on converting light signals received via the ocular organs. These organs, known as eyes, are securely positioned within the bony cavities of the skull, called orbits. The orbits serve a dual purpose: a protective shield for the ocular globes and a stable attachment point for the soft ocular tissues. The eye's external protective mechanisms include the eyelids, which are edged with lashes that act as a barrier against foreign...
01:14Muscles for Facial Expressions
The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...