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Related Experiment Videos

Dacryoadenopexy as a recognized factor in upper lid blepharoplasty.

B Smith, R D Lisman

    Plastic and Reconstructive Surgery
    |May 1, 1983
    PubMed
    Summary

    Recognizing a herniated lacrimal gland is key for plastic surgeons. Suspending ptotic glands enhances upper eyelid blepharoplasty results without affecting tear drainage.

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    Area of Science:

    • Oculoplastics
    • Anatomy
    • Surgical Techniques

    Background:

    • Herniated lacrimal glands (HLG) can cause upper eyelid fullness, often mistaken for other conditions.
    • HLG recognition is not consistently taught in plastic surgery training.
    • Ptosis of the lacrimal gland can affect aesthetic outcomes in blepharoplasty.

    Purpose of the Study:

    • To highlight the importance of recognizing herniated lacrimal glands.
    • To describe the technique of lacrimal gland suspension.
    • To evaluate the impact of gland suspension on blepharoplasty outcomes.

    Main Methods:

    • Clinical examination for superotemporal upper eyelid fullness.
    • Surgical technique involving suspension of the ptotic lacrimal gland.
    • Comparison of pre- and post-operative aesthetic results in blepharoplasty patients.

    Main Results:

    • Simple examination can identify herniated lacrimal glands.
    • Lacrimal gland suspension effectively addresses ptotic glands.
    • Improved aesthetic results were observed in upper-lid blepharoplasty cases with gland suspension.

    Conclusions:

    • Plastic surgeons should be aware of and trained to recognize herniated lacrimal glands.
    • Lacrimal gland suspension is a valuable adjunct to upper-lid blepharoplasty.
    • This technique enhances surgical outcomes without compromising lacrimal function.

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