A New Interpretation of Ptosis-like Eyes through the Results of Small-Incision Double-Eyelid Operation.

Park, Sung Gyu; Lee, Seung Kook; Baek, Rong Min

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):449-453.
Published online July 1, 2006.

A New Interpretation of Ptosis-like Eyes through the Results of Small-Incision Double-Eyelid Operation.

Sung Gyu Park, Seung Kook Lee, Rong Min Baek

¹Department of Plastic and Reconstructive Surgery, Inje University Seoul-Paik Hospital, Seoul, Korea. greetings@paran.com
²Cosmetic Eye Research Institute, Inje University, Seoul, Korea.
³Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul, Korea.

Abstract

PURPOSE
Perceiving the experience that MRD1 is increased after small-incision double-eyelid operation, it has been statistically verified the improvement of MRD1 retrospectively. Therefore, we suggest new interpretation for Korean-specific small eye and more definite classification for ptosis. METHODS: In operation, we made 3 small incisions according to the line designed on upper eyelid and removed some soft tissues including connective tissues. Then, figure-of-8 continuous buried ligation was performed through the incision windows. This study is a retrospective study, measures MRD1 changes and excursion distance change of eyelid margine and eyebrow using pre- and post-operative photos of 14 patients.
RESULTS
Postoperative photos were taken on the 4th day and all of 14 patients had an improvement in MRD1 statistically. The excursion distance of upper eyelid was improved in half of patients, though not in the range of statistical verification. It was statistically confirmed that the movement of eyebrow was reduced after operation.
CONCLUSION
It is thought that MRD1 improvement without any operation on levator complex means that soft tissue including connective tissue eliminated in operation restricts the movement of upper eyelid. It is defined such factors as burden factors and such phenomenon as burdened eyelid. It is thougt that Korean's small eye is mainly burdened eyelid and cosmetic improvement may be obtaind even by removing such burden factors.

Keywords: Blepharoptosis; Pseudoptosis; Classification; Levator; Double-eyelid