Programme: Upper Blepharoplasty – The pre-resection “U” suture  – Pierjean Albrecht – Marbella Clinic – Anti-Ageing World Conference  2003.

TITLE: Closed Upper blepharoplasty: the U suture  without pre-resection incision.

AUTHOR: Pierjeant Albrecht

CITY: Marbella

Title: Upper blepharoplasty: the U suture  without pre-resection incision.

Subject: The aim of this study was to evaluate an alternative to traditional blepharoplasty, which will help ensure that the cut respects the preoperative marking, to improve the convenience of the gesture, predictability and aesthetic quality results. With the U suture without pre-resection incision, all aspects of the traditional blepharoplasty have been addressed, eg, resection of the eyelid fat.

Materials and Methods: The study group consisted of 10 patients, including 6 women and 4 men, between January and June 2002. Skin types were Caucasian with a phototype 2 to 4 and an average age of 45 years. They received one upper blepharoplasty with overlock stitching Type U over nylon 6.0, without incision, in order to align the upper and lower lines of the marking for a more precise cutting, performed directly with curved scissors. Respect for the preoperative marking and comfort of the surgeon, the average time of intervention, the number of days for complete disappearance of bruises, the quality of the alignment of banks and scars were evaluated.

Results: There was 10 excellent aesthetic results with a comfortable run for the surgeon. The average time of blepharoplasty was 20 minutes, bruises disappeared in 5.4 days, respect for the preoperative marking is easier and symmetry is perfect. The scars are clear, thin and discreet.

Conclusions: The advantages of this technique are based primarily on greater comfort for the surgeon during resection of musculocutaneous flap, which is totally predictable, ensuring better symmetry through better respect for the preoperative marking. Operating time saving is significant, and cosmetic results are excellent .

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