Osaki MH, Osaki TH, Osaki T. Infrabrow Skin Excision Associated with Upper Blepharoplasty to Address Significant Dermatochalasis with Lateral Hooding in Select Asian Patients. Ophthal Plast Reconstr Surg. 2017; 33(1):53-56.
Asian patients usually present thicker skin than Caucasian patients. In addition, skin excess in the lateral region of the upper eyelid (lateral hooding) is prominent and frequently seen. Removal of this redundant skin during a standard blepharoplasty tends to produce a prolonged scar, that is more noticeable in thicker skin patients. In addition, suturing of the thicker upper skin to the thinner pretarsal skin can result in persistent edema aspect. This paper documents the combination of infrabrow skin excision and upper blepharoplasty to address lateral hooding in select patients of Asian ancestry (patients with moderate and severe upper eyelid dermatochalasis, high eyebrows and lateral hooding). This technique can also be used to address residual lateral hooding following previous blepharoplasty. Patients were evaluated at one, three, six and nine months at least. All patients had good results and were satisfied with the cosmetic outcome and improvement of upper visual field after surgery. No complications related to wound dehiscence, lagophthalmos, hypertrophic scars or sensory changes were observed. The combination of infrabrow skin excision and upper blepharoplasty was effective to address moderate and severe dermatochalasis with lateral hooding in select patients of Asian ancestry.
Tammy H. Osaki, MD, PhD
Affiliated Professor, Department of Ophthalmology - Division of Oculoplastics, Escola Paulista de Medicina/Universidade Federal de São Paulo - EPM/ UNIFESP. PhD at EPM/UNIFESP, and part of her PhD was achieved at Harvard Medical School/Massachusetts Eye and Ear Infirmary, Boston, USA. Member of the Brazilian (SBCPO), American (ASOPRS) and Asia-Pacific Oculoplastic (APSOPRS) Societies.
