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Randee C. Miller, Mark Krakauer, Vinay Aakalu, Amjad Ahmad; Efficacy Of Combined Upper Eyelid Blepharoplasty And Resection Of Retro-orbicularis Oculus Fat Resection. Invest. Ophthalmol. Vis. Sci. 2012;53(14):1452.
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To investigate the efficacy of a technique of upper eyelid blepharoplasty that includes resection of retro-orbicularis oculus fat (ROOF).
Retrospective comparative case series.
Thirty cases of combined upper eyelid blepharoplasty and ROOF resection were compared with thirty cases of standard upper eyelid blepharoplasty by a single surgeon. Pre- and post-operativephotographs were graded on a scale of 1 to 4 by a blinded observer for lateral fullness and aesthetic appearance. Medical records were reviewed for the following complications: facial nerve paralysis, hematoma, numbness, lagophthalmos with keratopathy, and re-operation.
ROOF resection is a useful and safe adjunct to upper eyelid blepharoplasty, resulting in improved debulking of the lateral supraorbital area.
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