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Oberlid- und Unterlidblepharoplastik

Entwicklungen der ästhetisch-plastischen periokulären Chirurgie

Upper and lower eyelid blepharoplasty

Development of aesthetic periocular plastic surgery

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Zusammenfassung

Der vorliegende Artikel beschreibt Indikationen und Techniken der Blepharoplastik. Hierbei wird neben den anatomischen Gegebenheiten sowohl auf die Ober- als auch auf die Unterlidblepharoplastik und auf mögliche Kombinationsbehandlungen wie die Kanthopexie eingegangen. Bei der Oberlidblepharoplastik ist zum einen die Einzeichnung der Hautresektionsfigur als auch die Modulation des intraseptalen Fettgewebes für das spätere Resultat entscheidend. Des Weiteren können im gleichen Eingriff Ptosiskorrekturen oder die Definierung des Sulcus palpebralis superior vorgenommen werden. Bei der Unterlidblepharoplastik besteht die Hauptaufgabe in der Modulation des intraseptalen Fettgewebes. Gleichzeitig besteht oft die Indikation zur Kanthopexie oder Kanthoplastik sowie zur Hautresektion, welche aber meist sparsamer ausfällt als bei der Oberlidblepharoplastik. Der vorliegende Artikel gibt des Weiteren einen Einblick in mögliche Risiken dieser Operationen und das Komplikationsmanagement.

Abstract

The article describes the indications and techniques for blepharoplasty of the upper and lower eyelids as well as combinations with other eyelid correction techniques. Upper eyelid blepharoplasty may include skin excision with orbital fat modulation as well as ptosis correction and definition of the superior sulcus palpebralis. The main goal of lower lid blepharoplasty is modulation of intraseptal fat and also often the treatment of a lower lid laxity by canthopexy. It is recommended to avoid excessive skin resection in the lower lid. Furthermore techniques to address an ectropium are reviewed and possible complications of blepharoplasty are presented.

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Authors and Affiliations

  1. Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Krankenhausstr. 12, 91054, Erlangen, Deutschland

    R.E. Horch & A. Arkudas

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  1. R.E. Horch
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  2. A. Arkudas
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Correspondence to R.E. Horch.

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Horch, R., Arkudas, A. Oberlid- und Unterlidblepharoplastik. Chirurg 82, 775–781 (2011). https://doi.org/10.1007/s00104-011-2150-4

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