Application of retaining the vessels around the orbicularis oculi muscle in blepharoplasty.

Publisher: Blackwell Science Country of Publication: England NLM ID: 101130964 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-2165 (Electronic) Linking ISSN: 14732130 NLM ISO Abbreviation: J Cosmet Dermatol Subsets: MEDLINE

Original Publication: Oxford, UK : Blackwell Science, c2002-

Blepharoplasty*/methods ; Patient Satisfaction* ; Oculomotor Muscles*/surgery ; Oculomotor Muscles*/blood supply; Humans ; Female ; Male ; Middle Aged ; Adult ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Operative Time ; Edema/etiology ; Edema/prevention & control ; Blood Loss, Surgical/prevention & control ; Eyelids/blood supply ; Eyelids/surgery ; Treatment Outcome ; Aged

Objective: To investigate the effect of retaining the vessels around the orbicularis oculi muscle on reducing local swelling after blepharoplasty.
Methods: A total of 309 patients undergoing blepharoplasty (total incision) were observed and randomly assigned to three groups; (A) conventional operation; (B) preservation of deep vessels; (C) preservation of anterior vessels of orbicularis oculi muscle. The groups were compared based on intraoperative blood loss, operation time, swelling, satisfaction, and complications.
Results: Among the 309 patients, 39 were lost to follow-up. c Additionally, A had the shortest operation time, followed by C with slightly longer duration. On the 7th day, 15th day, and 1 month after surgery, both B and C demonstrated significantly lower levels of swelling compared to A. Moreover, patient satisfaction was higher in B and C than in A.
Conclusion: Retaining either superficial or deep veins of the orbicularis oculi muscle can effectively reduce short-term postoperative swelling. However, when retaining the superficial central group of this muscle during surgery, it is crucial to strictly control the amount of surrounding tissue around vessels.
(© 2024 The Author(s). Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)

Ensat F, Heinrich K, Kholosy HM, Wimbauer J, Hladik M, Wechselberger G. A double‐blind randomized prospective study comparing prilocaine versus ropivacaine in upper blepharoplasty. J Plast Reconstr Aesthet Surg. 2017;70(3):375‐379. doi:10.1016/j.bjps.2016.10.014.
Taylor GI, Caddy CM, Watterson PA, Crock JG. The venous territories (venosomes) of the human body: experimental study and clinical implications. Plast Reconstr Surg. 1990;86(2):185‐213. doi:10.1097/00006534-199008000-00001 PMID: 2367570.
Yang CC. Revision of Asian upper blepharoplasty. Clin Plast Surg. 2023;50(1):111‐120. doi:10.1016/j.cps.2022.08.007 PMID: 36396250.
Yu P, Chen S, Gu T, Zhao M, Teng L, Lu J. Small‐incisional techniques for double‐eyelid blepharoplasty: a systematic review. Aesth Plast Surg. 2022;47:1067‐1075. doi:10.1007/s00266-022-03154-5.
Kiranantawat K, Suhk JH, Nguyen AH. The Asian eyelid: relevant anatomy. Semin Plast Surg. 2015;29(3):158‐164. doi:10.1055/s-0035-1556852.
Wang C, Pu LLQ. Asian upper blepharoplasty: a comprehensive approach. Clin Plast Surg. 2023;50(1):101‐109. doi:10.1016/j.cps.2022.07.006.
Kakizaki H, Selva D, Asamoto K, Nakano T, Leibovitch I. Orbital septum attachment sites on the levator aponeurosis in Asians and whites. Ophthalmic Plast Reconstr Surg. 2010;26(4):265‐268.
Kakizaki H, Takahashi Y, Nakano T, et al. The causative factors or characteristics of the Asian double eyelid: an anatomic study. Ophthalmic Plast Reconstr Surg. 2012;28(5):376‐381.
Ban M, Matsuo K, Ban R, Yuzuriha S, Kaneko A. Developed lower‐positioned transverse ligament restricts eyelid opening and folding and determines Japanese as being with or without visible superior palpebral crease. Eplasty. 2013;13:e37.
Liu J, Song B. Review of complications in double eyelid surgery. Indian J Ophthalmol. 2022;70(5):1460‐1465.
Sergile SL, Obata K. Mikamo's double‐eyelid operation: the advent of Japanese aesthetic surgery. Plast Reconstr Surg. 1997;99(3):662‐667.
Yang X, Gu Z, Li H, Wang Z, Cai J, Ma J. Double eyelid blepharoplasty with palpebral margin incision in Asian eyelids. J Craniofac Surg. 2021;32(7):2516‐2520. doi:10.1097/SCS.0000000000007662 PMID: 34705360.
Ren Y, Xiao H, Wu YH, Wang H. Sentinel artery in double eyelid blepharoplasty: identification, prevention. Management J Craniofac Surg. 2017;28(6):1435‐1436. doi:10.1097/SCS.0000000000003699 PMID: 28796098.
Ge M, Pan S, Ni F, Bie Z, Yu D, Song N. Mini‐incision blepharoplasty with Pretarsal Fasciectomy for double‐eyelid surgery. Aesth Plast Surg 2021;45(5):2201–2205. doi: 10.1007/s00266-021-02349-6. Epub 2021 May 25. PMID: 34036442.
Fang S, Zhu W, Xing X, Zhu L, Yang C. Double eyelid surgery by using palpebral marginal incision technique in Asians. J Plast Reconstr Aesthet Surg. 2018;71(10):1481‐1486. doi:10.1016/j.bjps.2018.05.035.
Hörmann J, Vach W, Jakob M, Seghers S, Saxer F. Kinesiotaping for postoperative oedema—what is the evidence? A systematic review. BMC Sports Sci Med Rehabil. 2020;2(12):14. doi:10.1186/s13102-020-00162-3.
Wei W. Chinese Plastic Surgery. Zhejiang Science and Technology Press; 2019:2319.
Gerli R, Ibba L, Fruschelli C. A fibrillar elastic apparatus around human lymph capillaries. Anat Embryol. 1990;181(3):281‐286. doi:10.1007/BF00174621 PMID: 2337247.
Nagi KS, Carlson JA, Wladis EJ. Histologic assessment of dermatochalasis: elastolysis and lymphostasis are fundamental and interrelated findings. Ophthalmology. 2011;118(6):1205‐1210. doi:10.1016/j.ophtha.2010.10.013.
Tourani SS, Taylor GI, Ashton MW. Understanding the three‐dimensional anatomy of the superficial lymphatics of the limbs. Plast Reconstr Surg. 2014;134(5):1065‐1074. doi:10.1097/PRS.0000000000000640.

Keywords: blepharoplasty; patient satisfaction; postoperative swelling; vessel retention

Date Created: 20240521 Date Completed: 20240926 Latest Revision: 20250204

20250205

10.1111/jocd.16400

38769823