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A quantitative, objective method for evaluating the surgical outcomes of baggy eyelid correction using orbital gray scale analysis
Author(s) -
Yang Seungkeol,
Kim Bo Ri,
Kim Hyung Su,
Choi Chong Won,
Jo Seong-Jin,
Youn Sang Woong
Publication year - 2019
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.12922
Subject(s) - eyelid , gray (unit) , medicine , surgery , computer science , radiology
Summary Background Baggy lower eyelids (BLEs) are a common cosmetic problem that is treated using various methods. However, validated objective methods for evaluating the treatment are limited. Aims A novel BLE correction procedure, transconjunctival fat resection, and subsequent fat grafting, was assessed using the orbital gray scale (OGS), a previously suggested objective measure for BLEs. Methods All patients were evaluated using both the tear trough rating scale (TTRS), a surgeon‐derived evaluation method, and OGS, an objective computer‐derived assessment. Changes throughout the surgery and their relationship to clinical characteristics, as well as the association between the two measurements, were statistically analyzed. Results A total of 50 patients who underwent surgery were analyzed. No major complications other than wrinkles were observed. All patients showed improvement in both the TTRS scores and OGS values ( P < 0.05). Lateral OGS was improved to a greater extent in older patients ( P < 0.05). Medial OGS change was associated with improvement of tear trough depression ( P < 0.05). Lateral OGS change was related to decreased infraorbital fat herniation ( P < 0.05). Total OGS change was related to improvement of both tear trough depression and fat prolapse ( P < 0.05). Conclusion The total OGS change was significantly associated with improvements in tear trough depression and fat bulging. Therefore, it could be a convenient objective evaluation measure for eyelid correction procedures.