|Revision of eyelid surgery
|ⅰ) Resection of drooping skin|
|ⅱ) Treatment of Palpebral bulging|
It is a very fine surgery aiming for the two results mentioned above.
Until the 90′s, the popular surgery methods were either placing the muscle to the periostium or removing the fat. For a short period, fat redistrbution technique was introduced, but never gained much interest.
In the 2000′s, thinking palpebral bulgings are caused by attenuation of anterior structure, removing fat conservatively and strengthening the anterior structure has become popular.
In case of only removing fat to conjunctiva, has high relapse rate and cause the patient to look even older after the fat removal. Removing the fat as little as possible and strengthening the anterior structure is the recent trend.
Also, performing lower eyelid surgery and same incision concomitantly, elavating midface flap from periostium of zygoma and then doing to fixation by endotine, mid-face lifting results can be expected. Therefore, results are much more effective with about the same recovery perod.
- Merits : The recovery period is similar to lower blepharoplasty, both local anesthesia and sedation anesthesia are possible.
(Refer to face lifing)