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Effects of Endoscopic Forehead/Midface-lift on Lower Eyelid Tension
Michael E. Villano, MD;
Deirdre S. Leake, MD;
Andrew D. Jacono, MD;
Vito C. Quatela, MD
Arch Facial Plast Surg. 2005;7:227-230.
Objective To evaluate and quantify the increase in lower eyelid tension (stress) after endoscopic forehead/midface-lift in a cohort of patients with normal lower eyelid function preoperatively.
Methods A prospective nonrandomized study was conducted at a private facial plastic surgery practice and ambulatory surgical center on 22 patients who underwent subperiosteal endoscopic forehead/midface-lift from October 2000 to June 2002. Patients were evaluated preoperatively, 4 to 6 months postoperatively, and approximately 12 months postoperatively.
Results Compared with preoperative lower eyelid tension, there was a 4- to 5-fold increase in lower eyelid tension at 3 and 5 mm of distraction immediately after the operation. Four to 6 months after the operation, lower eyelid tension decreased but was still 2 to 3 times that of preoperative values. Twelve-month measurements for the 15 patients who remained in the study (the other 7 patients were lost to follow-up or refused to have measurements taken) showed that lower eyelid tension was 1.7 to 1.9 times preoperative values.
Conclusions Our results show that lower eyelid tension increases following endoscopic forehead/midface-lift and that this increased tension is long lasting and quantifiable 12 months after surgery.
Author Affiliations: Department of Otolaryngology–Head Neck Surgery, University of Rochester, Rochester, New York (Dr Quatela). Dr Villano is in private practice in Bend, Ore; Dr Leake is in private practice in St Augustine, Fla; Dr Jacono is in private practice in Great Neck, NY.
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