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Contemporary Upper Blepharoplasty: Volumetric Contouring Concept

Contemporary Upper Blepharoplasty: Volumetric Contouring Concept Upper blepharoplasty has traditionally involved subtractive approaches with excision of different amounts of skin, muscle, and fat. However, this approach often results in iatrogenic acceleration of the normal volume depletion and bone resorption associated with aging, which leads to deepening of the superior sulcus, A-shape deformity and generalized hollowness. In recent years, the concept of periorbital volume restoration and augmentation has shifted the paradigm toward fat preservation and gland repositioning procedures. Herein, we describe the volumetric contouring concept, a contemporary approach for upper blepharoplasty that includes gland repositioning, suspension of the levator aponeurosis, fat transposition or reposition, and adjunctive filling procedures. This concept seeks for long-term restoration of the eyelid-brow complex by addressing every involutional aspect of the aging process, while treating and preventing hollow eyes and A-shaped deformity. In our experience, this approach has enabled us to attain optimal and long-lasting aesthetic results. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Cosmetic Surgery SAGE

Contemporary Upper Blepharoplasty: Volumetric Contouring Concept

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References (40)

Publisher
SAGE
Copyright
© The Author(s) 2023
ISSN
0748-8068
eISSN
2374-7722
DOI
10.1177/07488068231171313
Publisher site
See Article on Publisher Site

Abstract

Upper blepharoplasty has traditionally involved subtractive approaches with excision of different amounts of skin, muscle, and fat. However, this approach often results in iatrogenic acceleration of the normal volume depletion and bone resorption associated with aging, which leads to deepening of the superior sulcus, A-shape deformity and generalized hollowness. In recent years, the concept of periorbital volume restoration and augmentation has shifted the paradigm toward fat preservation and gland repositioning procedures. Herein, we describe the volumetric contouring concept, a contemporary approach for upper blepharoplasty that includes gland repositioning, suspension of the levator aponeurosis, fat transposition or reposition, and adjunctive filling procedures. This concept seeks for long-term restoration of the eyelid-brow complex by addressing every involutional aspect of the aging process, while treating and preventing hollow eyes and A-shaped deformity. In our experience, this approach has enabled us to attain optimal and long-lasting aesthetic results.

Journal

The American Journal of Cosmetic Surgery – SAGE

Published: Jan 1, 2023

Keywords: upper blepharoplasty; volumetric contouring concept; gland prolapse; fat transposition; fat preservation; sunken eyes

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