Upper Eyelid Contour Changes After Müller's Muscle Conjunctiva Resection.

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  • Additional Information
    • Source:
      Publisher: Springer-Verlag Country of Publication: United States NLM ID: 7701756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5241 (Electronic) Linking ISSN: 0364216X NLM ISO Abbreviation: Aesthetic Plast Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York, Springer-Verlag.
    • Subject Terms:
      Conjunctiva*/surgery ; Eyelids*/surgery ; Blepharoplasty*/methods ; Blepharoptosis*/surgery ; Oculomotor Muscles*/surgery; Humans ; Female ; Cross-Sectional Studies ; Male ; Middle Aged ; Adult ; Aged ; Retrospective Studies ; Treatment Outcome ; Esthetics ; Risk Assessment
    • Abstract:
      Purpose: To analyze the upper eyelid contour after Müller's muscle conjunctiva resection (MMCR) performed by four different surgeons.
      Methods: Comparative cross-sectional analysis of the pre- and postoperative contours of a control group and four groups of upper lids (n = 88) of 65 patients who underwent MMCR at four international centers. The procedure employed was essentially the same as described by Putterman but performed with different instruments to entrap the posterior lamella. Multiple medial and lateral margin lid distances were measured on Bézier lines expressing the pre- and postoperative lid contours.
      Results: Preoperatively, two groups had significant lateral and medial ptosis. After MMCR, the lateral segment of the lid's contour was corrected in all groups. In the two groups with more pronounced ptosis, the nasal lid contour was undercorrected.
      Conclusions: In MMCR, regardless of the instrument used to entrap the posterior lamella, the amount of medial tissue resection is essential to avoid postoperative nasal undercorrection.
      Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
      (© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
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    • Contributed Indexing:
      Keywords: Blepharoptosis; Müller's muscle conjunctiva resection; Surgery; Upper eyelid contour
    • Publication Date:
      Date Created: 20240710 Date Completed: 20241106 Latest Revision: 20241122
    • Publication Date:
      20241123
    • Accession Number:
      10.1007/s00266-024-04216-6
    • Accession Number:
      38987313