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Deepening of the Superior Sulcus After Isolated Lower Transconjunctival Blepharoplasty

Schiller, Jeffrey D. M.D.*‡; Lin, Selina M.D.; Neigel, Janet M. M.D.

Ophthalmic Plastic & Reconstructive Surgery: November 2004 - Volume 20 - Issue 6 - p 433-435
doi: 10.1097/01.IOP.0000144792.77871.09
Article

Purpose: To retrospectively determine the incidence of deepening of the superior sulcus after isolated CO2 laser lower transconjunctival blepharoplasty.

Methods: Retrospective case review and prospective measurement of the amount of fat resected in isolated laser lower blepharoplasty in 39 patients.

Results: Significant deepening of the superior sulcus occurred in 10% of CO2 laser lower transconjunctival blepharoplasties. The amount of fat resected ranged from 0.4 to 0.9 ml per eyelid, with an average of 0.55 ml.

Conclusions: Upper eyelid changes may be an overlooked result of CO2 laser lower transconjunctival blepharoplasty.

This retrospective study found an incidence of 10% of deepening of the superior sulcus after CO2 laser-assisted lower transconjunctival blepharoplasty.

*University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, U.S.A.; †St Vincent’s Medical Center, New York City, New York, U.S.A.; and ‡New York Eye and Ear Infirmary, New York City, New York, U.S.A.

Acepted April 26, 2004.

Presented as a poster at the Annual Scientific Symposium of the American Society of Ophthalmic Plastic and Reconstructive Surgery in Orlando, Florida, on October 18, 2002.

Address correspondence and reprint requests to Dr. Jeffrey D. Schiller, 452 West 19th Street, #3C, New York, NY, U.S.A. E-mail jdsmd@bellatlantic.net

©2004The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.