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NR. 3/2008
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Kosmetyczna plastyka
powieki dolnej
Cosmetic Lower Eyelid Blepharoplasty
Mariusz Kęcik, Dariusz Kęcik
Klinika Okulistyki I Wydziału Lekarskiego Warszawskiego
Uniwersytetu Medycznego
Kierownik: prof. nadzw. dr hab. n. med. Dariusz Kęcik |
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| Summary: |
The most common motive for
blepharoplasty, however, is to have wrinkles or extra
tissue removed in order to look younger and more
attractive. Cosmetic eyelid surgery today has the
benefit of 2000 years of development and refinement of
surgical techniques. A variety of options are now
available for the aesthetic rejuvenation of the lower
eyelid. In this article we review lower eyelid
blepharoplasty, highlighting the key points of the
procedure including preoperative evaluation and
complications after surgery. We present advantages and
disadvantages of skin/muscle flap and transconjunctival
approach.
Now the transconjunctival blepharoplasty has become a
simpler and more effective alternative in many instances,
because fat removal can be accomplished without
violation of the various anterior eyelid lamella
structures to avoid lower eyelid malposition. The
transconjunctival approach very often have been joined
with dermabrasion, chemical peel or laser resurfacing.
The surgeon frequently used CO2 or Er:YAG lasers. During
resurfacing, the epidermis and a superficial portion of
the dermis are removed. Tissue shrinkage occurs and,
together with wound remodeling, contributes to a
smoother, more youthful skin appearance after healing is
complete.
Complications of lower blepharoplasty are extremely
distressing for both the patients and the surgeon. The
most common anatomic complications are eyelid retraction
and cicatrical ectropion followed by scar formation and
contraction of the septum and to excessive skin removal.
Other complications are following: problems with wound
healing, fat underexcision or overexcision, asymmetry.
Orbital complications (visual loss, vertical diplopia)
are serious but not very often. |
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| Key words: |
lower blepharoplasty skin
approach, transconjunctival approach. |
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