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Blepharoplasty

Blepharoplasty can be both a functional or cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal and/or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons. When an advanced amount of upper eyelid skin is present, the skin may hang over the eyelashes and cause a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Patients with a less severe amount of excess skin may have a similar procedure performed for cosmetic reasons. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid "bags" and reduce the wrinkling of skin. Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. Initial swelling and bruising take one to two weeks to resolve but at least several months are needed until the final result becomes stable. Depending upon the scope of the procedure, the operation takes one to three hours to complete. The anatomy of the upper/lower eyelids, patients' skin quality, patients' age, and the adjacent bony and soft tissue all affect the cosmetic and functional outcomes after blepharoplasty. Factors which are known to cause complications after surgery include failure to recognize factors such as* preexisting dry eyes - which may become exacerbated by disrupting the natural tear film * laxity of the lower lid margin - which predisposes to lower lid malposition* prominence of the eye in relation to the malar complex - which predisposes to lower lid malposition[http://www.surgery.org The American Society for Aesthetic Plastic Surgery]estimates the average physician/surgeon fee for blepharoplasty for [http://www.surgery.org/download/2006stats.pdf 2006 to be around $2,882.] These fees are for the physician/surgeon fees only and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments or any other miscellaneous costs related to the surgery. Physicians most qualified to perform blepharoplasties are plastic surgeons, ophthalmologists, oral and maxillofacial surgeons, and otolaryngologists.The manner in which blepharoplasty surgery can alter a person's appearance is best appreciated by comparing before and after photos of surgical patients. Photos are available on a number of surgeon websites including: [http://www.drmeronk.com/eyelid/photos.html Dr. Frank Meronk based in Southern California] and [http://www.bostoneyelids.com/eyelid-surgery-photos.aspx Dr. Mitesh Kapadia based in Boston, Massachusetts]. An upper blepharoplasy in someone who is Asian is termed Asian blepharoplasty or double eyelid surgery. It is the most popular form of cosmetic surgery among those of east and southeast Asian background. Due to anatomic differences between the asian and occidental eyelid, about half of this population are born without a supratarsal eyelid crease and are called single-lidded. Surgery can be used to artificially create a crease above the eye. Transconjunctival blepharoplasty involves removing lower eyelid fat through an incision on the back of the eyelid, eliminating the need for an external incision. Because there is no external incision, excess skin can not be removed during the surgery, but skin resurfacing with a chemical peel or carbon dioxide laser may be performed simultaneously. This allows for a faster recovery process. (From the Wikpedia article Blepharoplasty.)

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Recent Publications on Blepharoplasty:

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The use of AlloDerm in the reconstruction of full-thickness eyelid defects.
PURPOSE: To demonstrate the potential for the use of AlloDerm as a...
14th November, 2008
Wolverhampton and Midland Counties Eye Infirmary, New Cross Hospital, Orbit. 2008;27(5):337-40.
DOI Direct Link
[Laszlo Blaskovics (1869-1938)]
PURPOSE: To report novel findings regarding contralateral eyelid height...
6th November, 2008
Orv Hetil. 2008 Sep 21;149(38):1811-3.
DOI Direct Link
Anterior lamellar repositioning with complete lid split: a modified method for treating upper eyelids trichiasis in Asian patients.
Anatomically, the upper eyelids of an Asian are considerably unique, and...
24th October, 2008
Division of Ophthalmic Plastic Surgery, Department of Ophthalmology, J Plast Reconstr Aesthet Surg. 2008 Oct 20.
DOI Direct Link
Stability of silicone band frontalis suspension for the treatment of severe unilateral upper eyelid ptosis in infants.
PURPOSE: To address the efficacy, safety, and stability of frontalis...
24th October, 2008
G.B. Bietti Foundation-IRCCS (Istituto di Ricovero e Cura a Carattere Eur J Ophthalmol. 2008 Sep-Oct;18(5):723-7.
Superiorly hinged blepharoplasty flap for reconstruction of medial upper eyelid defects following excision of xanthelasma palpebrum.
This paper documents an interventional case series which describes a novel...
23rd October, 2008
Queen Victoria Hospital, Corneoplastic Unit, East Grinstead, West Sussex, Clin Experiment Ophthalmol. 2008 Jul;36(5):410-14.

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BioNews Results for Blepharoplasty:

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Facial Center for Plastic Surgery: Blepharoplasty -- An Eye Opening Procedure at the Facial Center for Plastic
Market Wire:  Nov 3 2008 5:41PM Matching: blepharoplasty
Blepharoplasty -- An Eye Opening Procedure at the Facial Center for Plastic Surgery
Yahoo! Canada:  Nov 3 2008 3:23PM Matching: blepharoplasty
Blepharoplasty -- An Eye Opening Procedure at the Facial Center for Plastic Surgery
Market Wire:  Nov 3 2008 3:06PM Matching: blepharoplasty
Blepharoplasty -- An Eye Opening Procedure at the Facial Center for Plastic Surgery
Calibre Macro World:  Nov 3 2008 2:59PM Matching: blepharoplasty
More men want cosmetic surgery, says survey
Private Healthcare UK:  Oct 28 2008 8:56PM Matching: blepharoplasty
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Blepharoplasty Clinical Trials:

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Age-Related Changes in Myosin Heavy Chain Composition in Human Orbicularis Oculi Muscle
Aging Intervention: Procedure: obtain surgical specimen for analysis

Blepharoplasty Patents:

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US Patent No.Title
5739288 Fibrin sealant compositions
6029271 Facial sun block mask
6049794 System for screening of medical decision making incorporating a knowledge base
6077507 Method of making a composition comprising a fibrin monomer
6093561 Human lysophospholipase

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BioPortfolio Ltd. offers e-mail and postal lists for Blepharoplasty scientists - we have details of around 158 individuals working on Blepharoplasty .


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Wikipedia excerpt, where present, licenced under the GNU Free Documentation License. Resources from the NCBI applied. Selected MeSH subject headings created and maintained by the US NLM are used in conjunction with additional keywords. 2006-2008 MeSH.

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