9211-815 Dingman
Dingman DL.
Transcoronal blepharoplasty.
Plast Reconstr Surg. 1992 Nov;90(5):815-9; discussion 820. PMID: 1410034
Division of Plastic and Reconstructive Surgery, University of Utah Medical
Center.
Some of the patients requesting blepharoplasty have a combination of excessive
eyelid fat and brow ptosis but little or no dermatochalasis. Coronal brow lift,
combined with transcoronal fat removal, serves these patients well. The
prelevator fat pocket is easily entered from above by incising the periosteum of
the anterior orbital roof just inside the orbital rim. Since the orbital septum
and anterior lamella of the eyelid rim remain undisturbed, the result appears
natural. Contraindications to the procedure include significant medical pocket
fat and hair patterns that would exclude a coronal or hairline incision. Two
complications, unilateral ptosis and unilateral chemosis, were temporary and
totally reversible. Minor changes in the procedure have prevented the recurrence
of these problems.
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