Long-Term Upper Eyelid Blepharoplasty Outcomes: A Case Series
Author: Maria Paula Quintero
Base Hospital / Institution: Jules Stein eye Institute/ UCLA
ePoster presentation
Abstract ID: 24-532
Purpose
The aim of this study was to evaluate long-term upper blepharoplasty outcomes in terms of margin reflex distance 1 (MRD1), tarsal platform show (TPS), and brow fat span (BFS).
Methods
This case series included patients who underwent upper blepharoplasty at a single institution from 1997 to 2008. Patients with preoperative and postoperative photos at 1-4 months (early follow up) and ≥ 6 years (late follow up) were included in this study. Exclusion criteria included history of or concurrent upper eyelid or brow surgery, blepharospasm, thyroid eye disease, or facial palsy. ImageJ software was used to obtain MRD1, TPS, and BFS measurements from pre- and post-operative front facing photographs. BFS was measured at the pupil, lateral limbus, and lateral canthus. The right eye was selected as the study eye. Repeated measures ANOVA was used with post hoc pairwise comparison with Bonferroni correction.
Results
Ten patients were included in analysis (70% female). Mean age at time of procedure was 68.2 years. Mean time to early and late follow-up was 2.8 months and 11.2 years, respectively. Repeated measures ANOVA revealed significant differences in TPS (mean±SD, 1.0±1.9mm, 3.3±2.5mm, 3.3±1.8mm at pre-operative, early, and late follow up, respectively, p = 0.001), BFS limbus (13.2±5.1mm, 9.4±5.0mm, 10.5±5.4mm at pre-operative, early, and late follow up, respectively, p = 0.034), and BFS lateral canthus (14.4±5.9mm, 12.0±5.8mm, 13.4±6.7mm at pre-operative, early, and late follow up, respectively, p = 0.037) across time. Post hoc pairwise comparisons did not reveal significance across timepoints for these variables. MRD1 (p = 0.164) and BFS pupil (p = 0.087) did not significantly differ across time.
Conclusion
We found significant changes in TPS, BFS limbus and BFS lateral canthus across time. While there is an overall effect of time on these variables, the post hoc differences between specific timepoints may be subtle or require a larger sample size to detect. Further research is needed to determine the clinical significance of these changes.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Jordan N | Cornwell | Jules Stein eye Institute/ UCLA |
| Ashley | Shirriff | Jules Stein eye Institute/ UCLA |
| Daniel B | Rootman | Jules Stein eye Institute/ UCLA |
| Robert | Goldberg | Jules Stein eye Institute/ UCLA |
| Taras | Gout | Jules Stein eye Institute/ UCLA |
| Fahim | Mahmud | Jules Stein eye Institute/ UCLA |
