Extended preseptal fat resection in Asian blepharoplasty.

Abstract:

:The thickness of the upper eyelid is a bothersome condition that can be alleviated by blepharoplasty in Asians. Preseptal fat lies widely deep to the orbicularis oculi in the lower part of the upper eyelid, and the retro-orbicularis oculus fat (ROOF) pad lies in the lateral supraorbital area. We demonstrate the effectiveness of preseptal fat resection (PSFR) extended with ROOF resection in Asian patients. Three levels of PSFR were carried out in 258 eyelids of 129 Asian patients in conjunction with bilateral blepharoplasty: partial PSFR in 84 eyelids, total PSFR in 86, and extended PSFR that included ROOF resection in 68. The series revealed that PSFR was effective in reducing the thickness and heaviness of the eyelid, without major complications. PSFR including ROOF resection is an optional adjunct for Asian patients undergoing blepharoplasty. Nonetheless, the function of the grinding structures in the upper eyelid should be appropriately preserved.

journal_name

Ann Plast Surg

authors

Ichinose A,Tahara S

doi

10.1097/01.sap.0000263094.74682.5f

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

121-6

issue

2

eissn

0148-7043

issn

1536-3708

pii

00000637-200802000-00002

journal_volume

60

pub_type

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