Jennifer I. Hui, M.D. - LLUH · •Blepharoplasty for dermatochalasis •remove excess tissue...
Transcript of Jennifer I. Hui, M.D. - LLUH · •Blepharoplasty for dermatochalasis •remove excess tissue...
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Eyelid Surgery: Blepharoplasty
Jennifer I. Hui, M.D.
Loma Linda Department of Ophthalmology
APC
March 9, 2014
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Reasons Patients Seek Eyelid Surgery
• Tired appearance
• Lids feel heavy
• See better with lids lifted
• “Bags” under eyes
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Causes of Heavy Lids
• Dermatochalasis
• excess skin of the eyelids
• fat prolapse may give swollen appearance
• Ptosis
• drooping of the upper eyelid
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Dermatochalasis
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Dermatochalasis
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Ptosis
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Ptosis
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Surgical Treatment
• To enhance appearance and sense of well-being
• Blepharoplasty for dermatochalasis
• remove excess tissue
• Ptosis repair to lift the upper eyelids
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Upper Lid Blepharoplasty
• Mark lid crease
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Upper Lid Blepharoplasty
• Incision follows
contour of the
natural eyelid
crease
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Upper Lid Blepharoplasty
• Excess skin and fat
are removed
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Ptosis Repair
• External levator advancement
• Internal conjunctival mullerectomy resection
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Ptosis Repair
• External approach similar to blepharoplasty (lid crease incision)
• Disinserted muscle is identified and the eyelid is lifted to proper height and contour
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Lower Lid Blepharoplasty
• Lower eyelid blepharoplasty reduces excess
fat and/or skin in the lower eyelids
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Lower Lid Blepharoplasty
• Trans conj fat removal
• Skin pinch
• Lateral canthal fixation
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Lower Lid Blepharoplasty –
Immediately After Surgery
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Before surgery
2 weeks after
surgery
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Before surgery
1 month after
surgery
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Before surgery
1 month after
surgery
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What To Expect After Eyelid Surgery
• Bruising and swelling ice for 48 hours
• No heavy lifting/vigorous exercise for 2 weeks
• to reduce risk of post-operative bleeding
• Keep incisions clean for 1 week
• Sutures removed 1 week after surgery for skin incisions
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15823/67904
• Make sure you know the LCD criteria
and document accordingly
• RAC audits
• AAO and ASOPRS websites
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Blepharoplasty Video