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Septo-capsulopalpebral Fascial Recession Flap Technique in Lower Blepharoplasty: An Experience of 453 Consecutive Cases and a Review of the Literature

Authors
 Bok Ki Jung  ;  Young Seok Kim  ;  Woong Ki Jung  ;  Ji Myung Kim  ;  Yeon Ho Jung  ;  Tai Suk Roh 
Citation
 JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, Vol.73(1) : 156-165, 2020-01 
Journal Title
 JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY 
ISSN
 1748-6815 
Issue Date
2020-01
Keywords
Capsulopalpebral fascia ; Ectropion ; Lower eyelids ; Lower lid blepharoplasty
Abstract
Background: Lower blepharoplasty is one of the most common cosmetic rejuvenation procedures. Occasionally, adverse effects of the operation, ranging from operated and somewhat flattened unnatural look of the lower eyelid region to more severe cases of ectropion, retraction leading to functional disabilities, further compound the problem. The author has developed a technique focusing on two aspects in terms of the outcome of the operation in developing a technique that ensures a uniformly consistent and esthetically perceptible result. Methods: The anatomic basis for the technique is reviewed and described. We performed lower blepharoplasty using the septo-capsulopalpebral fascial recession flap. The procedure requires skin incision, maintenance of pretarsal muscular roll, skin-muscle flap elevation, orbital septum release, orbital fat removal, septo-capsulopalpebral recession flap, skin excision, and closure. Results: No complications have occurred in 453 patients, including hematoma and dry eye. Lid malposition such as entropion or lagophthalmos was not seen in any patient. Regardless of the preoperative variations in the lower lid, the method corrected the prolapsed lower eyelid and provided satisfactory esthetic result after the operation. Recurrences have not been observed during the follow-up period. Conclusion: Lower blepharoplasty using the septo-capsulopalpebral fascial recession flap is effective to correct baggy eyelid, with minimal risk of cicatricial ectropion or tarsal capsize and retraction. Further, the esthetic result is enhanced by the author's method of making the pretarsal muscular roll with prevention of its loss.
Full Text
https://www.sciencedirect.com/science/article/pii/S1748681519303432
DOI
10.1016/j.bjps.2019.07.009
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Seok(김영석) ORCID logo https://orcid.org/0000-0002-0981-2107
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Jung, Bok Ki(정복기) ORCID logo https://orcid.org/0000-0002-4347-560X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175971
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