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Upper Blepharoplasty With or Without Resection of the Orbicularis Oculi Muscle: A Randomized Double-Blind Left-Right Study

2011; Lippincott Williams & Wilkins; Volume: 27; Issue: 3 Linguagem: Inglês

10.1097/iop.0b013e318201d659

1537-2677

Renato Wendell Ferreira Damasceno, Angelino Júlio Cariello, Emmerson Badaró Cardoso, Giovanni André Pires Viana, Midori H. Osaki,

Body Image and Dysmorphia Studies

In Brief Purpose: To compare the aesthetic outcomes of the upper blepharoplasty with or without resection of the preseptal orbicularis oculi muscle. Methods: An interventional randomized double-blind left-right study was conducted in 15 consecutive patients with dermatochalasis of the upper eyelid. One side was randomly chosen for resection of the preseptal orbicularis oculi muscle (group 1). The orbicularis oculi muscle of the contralateral side was preserved (group 2). All patients scored differences between both sides on the seventh day, the thirtieth day, and the ninetieth day after the surgery regarding the following symptoms: edema, hematoma, itching, and pain. Three masked ophthalmic plastic specialists analyzed the aesthetic outcomes by the visual analogical scale. Results: The scoring of symptoms was significantly higher in group 1 than in group 2 on the seventh postoperative day. On the thirtieth and ninetieth days, there were no significant differences between groups 1 and 2. The analysis by 3 masked observers showed that the aesthetic result was worse in group 1 than in group 2 on the seventh postoperative day. There were no significant differences between groups 1 and 2 on the thirtieth and ninetieth days. Conclusions: Upper blepharoplasty causes more postoperative symptoms and presents worse initial aesthetic outcome when the preseptal orbicularis oculi muscle is excised. However, the final aesthetic outcome is the same when the preseptal orbicularis oculi muscle is excised or preserved. An interventional randomized double-blind left-right study compared 2 different techniques of upper blepharoplasty. Upper blepharoplasty with resection of the preseptal orbicularis oculi muscle causes more postoperative discomfort and worse initial aesthetic outcome.