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Lower lid blepharoplasty.

C Beard
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Abstract

A well-trained surgeon is capable of improving the facial appearance of many people by revision of aging lower eyelids. A knowledge of the anatomy, pathology, and physiology of the area is essential. By a careful preoperative examination, determination of the proper procedure, and by skillfully performed surgery much can be done for patients seeking this procedure. Methods of examination and suggested techniques for surgery have been outlined.

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Eyelid DiseasesEyelidsHumansMethodsJournal Article

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C Beard. 1978. Lower lid blepharoplasty.. https://doi.org/10.1016/s0161-6420(78)35625-6

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PubMed2007

[Results after lidloading with rigid gold weights--a meta-analysis].

INTRODUCTION: For the surgical therapy of lagophthalmos rigid gold implants were used. There are a lot of studies using rigid gold implants with widely different complications. In the primary study the small amount of patients is often a problem. The aim of our study was to survey the postoperative results and complications after insertion of rigid gold implants and to statistically compare the results with a meta-analysis. MATERIAL AND METHODS: 38 publications on 1000 rigid gold implants were analyzed in the context of a meta-analysis of the postoperative results. RESULTS: Complete lid closure can be obtained in 84.5 % with the rigid gold implants. The postoperative complication rates were 13.4 % for bulging, 6.4 % for migration, 6.8 % for extrusion, 11.5 % for corneal astigmatism and 7.0 % postoperative infections. DISCUSSION: Lidloading is a very simple and reversible procedure for the surgical treatment of lagophthalmos. The statistical analysis in using rigid gold implants showed a significant rate of postoperative complications. To increase the effectivity of the treatment method these results should be taken into account for alternative implants.

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