Faculty of Medicine
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Item type:Publication, Suborbital fat protrusion of the lower eyelids(Macedonian Academy of Sciences and Arts, 2007-12); ; ; Naceska, ABackground: Protrusion of the lower eyelid is an aesthetic condition that is influenced by many anatomical features. Aim is to identify and categorize fat pad protrusion under the lower eyelids, and to evaluate the scoring system for determining the anatomical characteristics that will yield optimal surgical results. Material and Methods: During a six year period (2000–2005) we operated 42 patients with suborbital protrusion of lower eyelids. In our assessment of the fat pad protrusion we employed analysis of: prominence of the orbicular muscle, prolapse of the suborbital fatty tissue, eyelid fluid, stretching of the lower eyelid, triangular prominence in the malar region, loss of skin elasticity (tear through). Results: Our study showed that the cause for baggy lower eyelids appearance is a group of complex anatomical changes. The cumulative contribution score used in this study allows for determination of the principal cause for the appearance of the sagging baggy lower eyelids. With this knowledge, the surgeon has the opportunity of choose the most appropriate Blepharoplasty technique in obtaining the optimum aesthetic effect. Conclusion: The cumulative contribution score for each anatomic variable show us that prolapsed orbital fat received high score in man as compared to women. The knowledge of the origin of baggy eye lids can aid surgeons in their selection of the correct facial sculpting technique in order to achieve the optimal aesthetic effect. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, BLEPHAROPLASTY - OUR EXPERIENCE(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2021); ; ; ; One of the most popular aesthetic surgery procedures is blepharoplasty. Preoperative planning and tissue resection can reduce complications and improve outcomes. Although some patients want blepharoplasty to address age-related changes in the skin of their eyelids, the procedure is more of a sculpture and contouring of the overall aesthetic unit. In this paper we present the history, basic anatomy, indications and surgical technique of upper and lower blepharoplasty. The importance of the preoperative patient evaluation for blepharoplasty has also been stated. We present our experience in blepharoplasty surgery done at the University Clinic for Plastic and Reconstructive Surgery in a three-year period, along with the complication rate and outcome. We have briefly described the techniques of standard upper and lower eyelid blepharoplasty. Practically, the rejuvenation of this complex anatomical area requires a combination of therapies including fat excision, repositioning or transfer, simultaneous brow or midface lift, and adjunctive treatment for skin resurfacing and periorbital hollows.