The American Journal of Cosmetic Surgery最新文献

{"title":"Pain Management and Opioid Consumption After Outpatient Cosmetic Surgery","authors":"A. M. Zorrilla, Alex P. Sanchez-Covarrubias, Keren Martin, Michael Rodriguez","doi":"10.1177/07488068221116529","DOIUrl":"https://doi.org/10.1177/07488068221116529","url":null,"abstract":"Introduction: Opioid overprescription after surgery results in a surplus of tablets that become available for diversion and abuse. This study aims to describe opioid consumption after common elective outpatient cosmetic surgeries to provide a reference for surgeons and deter preemptive overprescription. Secondary endpoints were risk factors for increased opioid use after cosmetic surgery and the influence of helium plasma technology (Renuvion; Apyx Medical Corporation, Clearwater, Florida) on postoperative opioid consumption. Materials and Methods: Patients completed a preoperative survey on the day of surgery and a postoperative survey 14 to 21 days after surgery. Data regarding procedure type, demographics, quantity of prescribed opioids, pain experience, amount of opioids consumed, and supplementation with over-the-counter pain medications or alternative therapies were collected. Results: Two hundred sixty-six patients were included. On average, 28 opioid pills were prescribed, and 13.8 pills were consumed across all cosmetic surgery types. Procedure type, body mass index, ethnicity, prior surgical history, and the incorporation of helium plasma technology did not influence opioid consumptions postoperatively. Patients with a surgical complication had a statistically significant higher opioid use than those without a surgical complication (P = .0397). Conclusions: Patients in our study required on average about half of the opioids prescribed during the immediate postoperative period. Means of opioids consumed per cosmetic surgery category are described and can serve as a reference for cosmetic surgeons.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123830163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of Combined Use of Ultrasound and Power-Assisted Liposuction in Local Anesthesia","authors":"Samet Sendur, Paul von Waechter-Gniadek, R. Boeni","doi":"10.1177/07488068221109764","DOIUrl":"https://doi.org/10.1177/07488068221109764","url":null,"abstract":"Ultrasound-assisted liposuction (UAL) and power-assisted liposuction (PAL) have been independently shown to homogeneously aspirate higher amounts of fat, better protect tissue, and reduce hematoma formation when compared with standard liposuction (SL). Most liposuction surgeons use either one of these devices. In this study, we aimed to evaluate the safety of combining both methods in local anesthesia in a series of consecutive patients. Between March 2020 and March 2022, 956 patients underwent ultrasound UAL, followed by PAL in local anesthesia. There were 623 females and 333 males (mean age = 40.3, range = 21-67 years). Intraoperative and postoperative data were collected, and side-effects were noted. Mean operation time was 83 minutes. There were no severe complications, and no hospitalizations were required. Minor complications included seroma (9), post-liposuction hyperemia (7), and hyperpigmentation (3). Eighteen patients required touch-up. Combining UAL and PAL in local anesthesia shows a safety profile similar to SL, provided these energy devices are used by experienced surgeons. After a learning curve, surgery time is comparable to SL.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131408233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reorienting Lower Lateral Cartilages With Lateral Crural Struts: Aesthetic and Functional Benefits","authors":"R. Ambaram, Kevin Duplechain","doi":"10.1177/07488068221101225","DOIUrl":"https://doi.org/10.1177/07488068221101225","url":null,"abstract":"Nasal tip shape and position play a major role in the aesthetic appearance of the nose. Cephalically oriented lower lateral cartilages (LLC) are associated with a broad boxy nasal tip. Reorienting cephalically positioned LLC with lateral crural strut grafts is a technique used to correct the nasal tip. An open approach surgical technique is described to evaluate the true orientation of the LLC and correct the boxy nasal tip. Five cases are shown with pre- and post-op pictures. The identical surgical technique is used in all cases with a variation in grafts necessary to create the desired esthetic result. All 5 described cases are on female patients. In all cases, reorientation of the lateral crura with lateral crural strut grafts were performed. In all, 4 of the 5 cases required a columellar strut graft, 3 cases required a shield graft to increase nasal tip projection and control the columellar-lobular angle, and 2 cases required spreader grafts for internal nasal valve support. All 5 cases required a variation of inter and intra-domal suture techniques to refine the nasal tip. A boxy nasal tip with supra-tip fullness is commonly associated with cephalically oriented LLC. Changing the orientation of the LLC to a more favorable angle and using lateral crural strut grafts can be used to not only correct the nasal tip deformity, but also facilitate projecting/de-projecting the nose, changing the rotation of the tip, and also supporting the external nasal valve. Reorienting cephalically oriented LLC is a versatile approach to reshaping the nasal tip. It is a technically demanding maneuver that when executed, allows complete control of the nasal tip complex. We have used this approach in many cases involving a boxy nasal tip with long ptotic tips and poorly supported external valves.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132907895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breast Fat Grafting: Comparing Filtration-Centrifugation to Filtration-Washing Fat Processing","authors":"R. Troell","doi":"10.1177/07488068221108547","DOIUrl":"https://doi.org/10.1177/07488068221108547","url":null,"abstract":"Comparing 2 fat processing methods and learned clinical experience. Since alloplastic breast implants suffer from numerous potential complications and revision surgery, some practitioners and patients seek alternative treatment. Autologous fat grafting has gained popularity due to its safety and scientific advances yielding increased survival. Laboratory evaluation of fat specimens compared to ultrasound-assisted and suction-assisted fat harvesting is presented. The filtration-washing device (PureGraft) versus the filtration-centrifugation device (LipoKit) were compared using both clinical evaluation, laboratory analysis, and diagnostic ultrasound to assess fat thickness before and after surgical placement. The study evaluated 12 women electing breast fat transfer, 6 undergoing PureGraft for processing (mean 29.2 years, Mean BMI 25.5), with 3 of these using suction-assisted harvested fat and 3 using ultrasound-assisted harvested fat. The initial group had 6 patients (mean 28.5 years, Mean BMI 25.1) that had undergone LipoKit fat processing, with 3 of these using suction-assisted harvested fat and 3 using ultrasound-assisted harvested fat. Fat placed ranged between 100 cc and 240 cc per breast in the subcutaneous plane, with a mean of 171.7 cc for LipoKit and 169.2 cc for the PureGraft group. LipoKit fat processing revealed fat grafted breasts to be 40% thicker via diagnostic ultrasound at 10 weeks and 29% thicker at a mean of 7 months and 10 days. The ultrasound-assisted fat harvesting using LipoKit found a mean fat viability of 91.5% compared to 81.8% with PureGraft. Suction-assisted fat harvesting using LipoKit found a mean fat viability of 92.1% compared to 91.5% with PureGraft. Our clinical study revealed that in the patient population that elected breast fat grafting as the method of augmentation, there was a high patient satisfaction rate. The filtration-centrifugation system has several advantages: (1) centrifugation forces injuries the larger, more mature, less likely to survive adipocytes (2) the process removes the oil content much more efficiently and in greater quantities than PureGraft, (3) more efficiently and in greater quantities extracts the wetting fluid (4) absence of washing inhibits the removal of lipoaspirate containing growth factors and cytokines, (5) Compacts the fat, and finally (6) Concentrates adipose-derived stem cells and stromal vascular fraction progenitor support cells. There was no difference in fat viability comparing suction-assisted to ultrasound-assisted liposuction fat harvesting. Breast fat grafting using the Filtration-Centrifugation device (LipoKit) revealed superior volume results compared to the Filtration-Washing device (PureGraft), with no difference with suction or ultrasound fat harvesting.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133206221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Abdominal Skin Resection: A Novel Approach to High-Definition Body Contouring of the Abdomen","authors":"Shea Skenderian, Zachary Sin, H. Mirzania, A. Mowlavi","doi":"10.1177/07488068221102301","DOIUrl":"https://doi.org/10.1177/07488068221102301","url":null,"abstract":"Introduction: We present a novel abdominal contouring procedure, called the modified abdominal skin resection, designed to maximize elimination of skin redundancy while allowing for simultaneous high-definition liposuction of the entire abdominal skin flap. Technical details of the modified abdominal skin resection will be presented including inclusion and exclusion criteria, complications, and outcomes. Materials and Methods: Strategic limiting of abdominal skin undermining, preserving of any visible perforators, using ultrasound liposuction, and if necessary, administering Renuvion J plasma skin contraction are components of the presented high-definition abdominal contouring procedure. Limited undermining allows for high-definition liposuction of the abdomen to create muscle highlights and smooth contour junctions. Results: We present case studies demonstrating superior contour results when compared to traditional tummy tucks without muscle plication or liposuction alone. We present technical details of the modified abdominal skin resection, inclusion and exclusion criteria, complications, and outcomes. Discussion: The modified abdominal skin resection allows for high definition abdominoplasty outcomes. These results are superior to traditional abdominoplasties that are performed without muscle plication. This novel abdominoplasty procedure allows for aggressive removal of fat, as well as maximal elimination of skin redundancy and laxity. Inclusion and exclusion criteria established in this paper dicatate whether a patient is a good candidate for the modified abdominal skin resection. Conclusion: We present technical details required to complete the high definition abdominoplasty without muscle plication which allows for waistline snatching and creation of abdominal muscle highlights. High definition body contouring principles are applied to the modified abdominal skin resection to achieve superior body contouring results.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131568094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Consequences of Private Equity’s Invasion of Surgical Subspecialties","authors":"Elizabeth Will, E. Ferneini","doi":"10.1177/07488068221103638","DOIUrl":"https://doi.org/10.1177/07488068221103638","url":null,"abstract":"The past few decades have been marked by abrupt changes in the business of medicine, namely consolidation, corporatization, and administrative management. Physicians have left private practice in staggering numbers to become hospital-affiliated employees. The remaining independent practices must compete against these much larger entities. Private equity (PE) firms have emerged as influential players in this new world of health care by offering investment to smaller groups trying to maintain their clinical edge in a consolidating market.1 Private equity investments in health care increased from $23.1 B in 2015 to $78.9 B in 2019, and as of 2018, PE firms owned 25% of hospitals in the United States.2,3 Private equity firms pool money from investors and use these assets to purchase businesses. They attempt to increase the value of the business, often touting annual returns exceeding 20%, generally hold their investment for 3 to 7 years, and then sell the business, returning profit to the investors.4 This structure is financially appealing for medical practice partners as it may yield an up-front lump sum. Furthermore, consolidation offers benefits including larger market share to negotiate reimbursement contracts and decreases administrative costs through scale. However, the goals of PE firms can conflict with the mission and priorities of clinicians. There are concerns about the implications that prioritization of financials might have to focus on patient safety, health equity, and provider autonomy. Focusing on returns may result in pressure to conduct more elective procedures, especially cosmetic services, regardless of their indication or provide care to only higher socioeconomic status communities. Private equity groups often use strategies such as substituting advanced practice providers (APPs), namely nurse practitioners (NPs) and physician assistants (PAs) for physicians to decrease costs and increase procedural volume.5,6 The 3to 7-year holding period also emphasizes short-term growth plans, leaving owners with uncertain plans for the long term. Surgical services and procedures are a very profitable component of health care, accounting for 51% of all Medicare spending.7 Unsurprisingly, recent years have seen a dramatic influx of PE firms into the surgical subspecialties, particularly dermatology, ophthalmology, oral and maxillofacial surgery (OMS), and obstetrics and gynecology (Ob/Gyn). A review of 18,000 unique group medical practices in the United States found that 59 practices were acquired by PE firms in 2013, 355 were acquired by PE firms from 2013 to 2015, and 136 practices were acquired in 2016 alone. The most commonly represented medical groups included anesthesiology (19.4%), multispecialty (19.4%), emergency medicine (12.1%), family practice (11.0%), and dermatology (9.9%).8 Of note, the true number of PE deals is often underreported because private transactions have no reporting requirements. There is ample research on the effec","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126332168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgeons’ Survey of the Aging Face With a Focus on the Aging Nose","authors":"Elise L. Ehland, Husain Ali Khan","doi":"10.1177/07488068221111665","DOIUrl":"https://doi.org/10.1177/07488068221111665","url":null,"abstract":"The purpose of this study was to evaluate how facial cosmetic surgeons rank different areas of the aging face by comparing those areas for the greatest impact on surgical rejuvenation. It was hypothesized that the nose would be ranked lower than most other areas of the aging face. Fifty surveys were included in this study and were completed by surgeons from the following specialties: oral and maxillofacial surgery, oculoplastic surgery, otolaryngology, general surgery, plastic surgery, dermatology, and obstetrics/gynecology. The 12 ranked areas of the face (from 1 to 12) were skin, hair/hairline, brows, periorbital area, nose, ears, cheeks, midface/nasolabial area, dentition, perioral area, lower face/chin/jowls, and neck. Each of these areas of the face was also rated based on the surgeons’ assessment of the level of importance when evaluating and treating the aging face on a 5-level scale, ranging from level 1 (not important) to level 5 (very important). The average rank for the nose was 9.30. The highest average ranking was the periorbital region with 2.74 and the lowest average ranking was the ears at 11.02. The surgeons’ ratings of the nose were 0% for level 1 (not important), 20% for level 2 (slightly important), 30% for level 3 (somewhat important), 26% for level 4 (important), and 16% for level 5 (very important). The average level rating of the nose was 3.413 (somewhat important). In comparison, the highest average rating was for the periorbital region at 4.837 (very important) and the lowest average rating was the ears at 2.957 (somewhat important). Using a significance level of P < .05, the nose is both ranked and rated as less important than 7 out of 11 other areas of the face: the periorbital area, the lower face, the skin, the neck, the midface, the perioral area, and the cheeks. The difference between the ranking and rating of the nose and that of the brows, dentition, hairline, and the ears was not considered significant. This study confirmed the hypothesis that when comparing the areas of the aging face that would have the most effect on surgical facial rejuvenation, the nose was ranked lower than most other areas of the face except the ears. The nose undergoes multiple anatomical changes with age that affect both appearance and nasal function. Therefore, the rhinoplasty for the aging nose should not be overlooked as an important contributor to facial rejuvenation and a potential to improve nasal function. The nose is most often considered of lower importance compared with other areas of the face by facial cosmetic surgeons when evaluated for impact on surgical facial rejuvenation.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128473092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health and Quality of Life Considerations: Plastic and Cosmetic Surgery During the COVID-19 Pandemic","authors":"Makayla Gologram, Christine M. Lomiguen, Justin Chin, Mark A Terrell","doi":"10.1177/07488068221110719","DOIUrl":"https://doi.org/10.1177/07488068221110719","url":null,"abstract":"Background: Plastic surgery incorporates procedures ranging from in-office injections to full-body reconstruction. Many of these procedures have been correlated with increasing overall mental health and quality of life. The novel coronavirus (COVID-19) effectively ended plastic surgery operations, temporarily, to prevent disease transmission and conserve personal protective equipment (PPE) for patients and forefront physicians with most need. While safety precautions and mental health have remained the primary concerns, this review aims to summarize and explore the implications of the COVID-19 pandemic on plastic and cosmetic surgery procedures and its future demand, with emphasis on patient mental health and quality of life, all while bringing potential improvements to the surgical subspecialty. Methods: A critical interpretive review involved thorough searches of Google Scholar and the National Library of Medicine’s MEDLINE/PubMed databases using the following search terms: “plastic surgery,” “COVID-19,” “aesthetic surgery,” and “coronavirus” in conjunction with “mental health,” “economic hardships,” and “post-operative complications.” Results: A total of 34 manuscripts were incorporated into this critical interpretive review. Discussion: The trend in aesthetic and reconstructive plastic surgery’s frequency of procedures was expected to continue in 2020 but was derailed by COVID-19. Patient motivations for aesthetic surgery vary from visible function-impairing deformities to perceived psychological dysphoria. During COVID-19 restrictions, mental health has declined considerably for many, especially those with body dysmorphia; however, continuing cosmetic elective procedures, following public health guidelines, can have numerous mental health benefits. Conclusions: Cosmetic plastic surgery during the COVID-19 pandemic is justified to support the mental health of patients that suffer from body dysmorphia and can abide by the safety precautions to prevent infection. Aesthetic surgery after the pandemic will continue the positive trend from previous years, but with an increased focus on the mental health of patients and an increased quality of care inspired by the pandemic.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"2011 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127364413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Technique for Correction of Fibrous Pollybeak Deformity Using a Rotational V-Shaped Flap in Secondary Rhinoplasty","authors":"N. Fakih-Gomez, Hector Manuel Marin-Mendez, Gianna Mungo-Quezada, Erik Miguel Abrego-Mendez, Alaide Caballero-Rodriguez, Fabricio Castro-Carrasco, Ibrahim Fakih-Gomez","doi":"10.1177/07488068221103074","DOIUrl":"https://doi.org/10.1177/07488068221103074","url":null,"abstract":"Pollybeak deformity is a postoperative nasal deformity. This occurs when the lower third of the dorsum is more projected than the tip. Several etiologies due to primary and secondary rhinoplasty have been described in the literature. Some of these are preventable, while others are postoperative. We designed a convenient technique to correct fibrous pollybeak deformities presented in revision surgeries. The procedure is performed under tumescent local anesthesia. An open technique was used to expose the supratip deformity. A flap is designed and elevated anatomically from the supratip area and then divided into 2 halves, resulting in a forked flap joined at the vertex resembling a “V.” Then both flaps are overlapped to project the tip to the desired position. The V-shaped flap is fixed in its position by simple sutures to the underlying cartilage. A significant improvement in correcting fibrous supratip deformity was noted in postoperative evaluation. All our patients were satisfied with the result and healed uneventfully with no significant complications. This alternative technique is simple and practical for correction of fibrous pollybeak deformity over traditional techniques. The V-shaped flap can be addressed with 1 maneuver, both the pollybeak deformity and the nasal tip projection.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127989905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined Sub-Brow Lift and Upper Blepharoplasty to Minimize the Supratarsal Fold Thickness and Lateral Hooding: A Concept and Review of Cases","authors":"Joon Tae Ahn, Peter Sang-Hui Kim","doi":"10.1177/07488068221100086","DOIUrl":"https://doi.org/10.1177/07488068221100086","url":null,"abstract":"Despite upper blepharoplasty being the most popular periorbital rejuvenation surgical procedure, in Asians with moderate to severe blepharochalasis, the occurrence of postoperative puffy supratarsal fold (double eyelid) and residual lateral hooding is not uncommon. A qualitative retrospective analysis of before and after photos of 268 cases of combined sub-brow lift and upper blepharoplasty was done. A substantial number of cases had satisfying supratarsal fold thickness and improvement in lateral hooding. A combined sub-brow lift and upper blepharoplasty is an effective method to reduce the supratarsal fold thickness and lateral hooding in Asians with moderate to severe blepharochalasis.","PeriodicalId":297650,"journal":{"name":"The American Journal of Cosmetic Surgery","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127769667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}