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Rejuvenation of the deep superior sulcus in the eyelid
Author(s) -
Moon Hyung Suk,
Ahn Byungjoon,
Lee Jun Hee,
Rah Dong Kyun,
Park Tae Hwan
Publication year - 2016
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.12221
Subject(s) - sulcus , medicine , blepharoplasty , eyelid , ptosis , surgery , rejuvenation , deformity
Summary Background Nowadays, a number of patients seeking cosmetic surgery for their sunken upper eyelid are increasing. The aim of this study was to provide an overview of the various treatment options for sunken superior sulcus with reported complications and to discuss effective methods for treatment. Methods In a PubMed search, studies involving patients undergoing correction of sunken superior sulcus with various treatment options were included. Results A systematic search revealed twelve articles representing 680 cases that satisfied inclusion criteria. All were case series, and no randomized controlled studies were found. Five reported on augmentation of the deformity with surgery, while hyaluronic acid filler was used in four reports. There was a report attempting to correct the deformity by the microautologous fat grafting. The combined surgical approaches including ptosis correction with upper blepharoplasty and appropriate fat grafting were used in two reports. About 7.2% of patients (49/680) experienced complications, with 4.3% requiring re‐operation, while no severe complications were observed. Conclusions By careful identification of the clinical features and proper classification of the types of sunken superior sulcus, the treatment plan can be specified.