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Prevention of Lower Eyelid Malposition After BlepharoplastyAnatomic and Technical Considerations of the Inside-Out Blepharoplasty
David B. Rosenberg, MD;
Jessica Lattman, MD;
Anil R. Shah, MD
Arch Facial Plast Surg. 2007;9(6):434-438.
Objective To determine the position of the lower eyelid and lateral canthus after release of the lower eyelid retractors with the "inside-out technique" by measuring the marginal reflex distance 2 (MRD2) and using the lateral canthal rounding scale.
Design Retrospective analysis.
Results Of the 171 patients who underwent inside-out blepharoplasty, 78 were followed up for 3 months. Preoperative MRD2 was 0.942 pixels. Postoperatively, the modified MRD2 was 0.903. Although the score of the modified MRD2 was found to decrease postoperatively, the decrease was not statistically significant (P < .07). The lateral rounding scale reviewed an average preoperative score of 2.04 and a postoperative score of 1.99. There was no statistical difference between pre- and postoperative observations based on a 1-tailed t test. No complications were reported.
Conclusion Using photographic analysis, the study found no difference in lateral canthal shape or MRD2 before and after surgery in patients who underwent inside-out blepharoplasty.
Author Affiliations: Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery (Drs Rosenberg and Shah), and the Division of Oculoplastic Surgery, Department of Ophthalmology (Dr Lattman), Manhattan Eye, Ear, & Throat Hospital, New York, New York; and the Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, New York University School of Medicine, New York (Dr Shah).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
The Orbital and Ophthalmic Plastic Surgery Theme Issue
Goldberg
Arch Ophthalmol 2007;125:1708-1709.
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