TPS After Upper Blepharoplasty

Completed

• Conditions: Efficacy of a Technique (Brassiere Sutures)
• Interventions: Procedure: Brassiere suture with blepharoplasty; Procedure: Traditional upper blepharoplasty

• Registration Number: NCT02879552
• Lead Sponsor: Instituto de Olhos de Goiania

Brief Summary

Increased tarsal platform show (TPS) and decreased brow fat span (BFS) are associated with favorable results in women undergoing cosmetic blepharoplasty. The authors evaluate the efficacy of a technique (brassiere sutures) to increase TPS and decrease the BFS.

Detailed Description

This is a prospective, randomized, comparative, case series study of 100 eyelids (50 consecutive women patients) treated with cosmetic upper blepharoplasty by a single surgeon. Patients were randomized to receive traditional upper blepharoplasty with a single running suture skin closure versus orbicularis oculi muscle fixation to periosteum (brassiere sutures) prior to skin closure. Patient age, follow-up length, complications and treatment were analyzed. The mean of TPS, BFS and TPS/BFS ratio was measured before and after surgery at 3 anatomic landmarks.

56 eyelids (28 patients) were treated with traditional single suture blepharoplasty and 44 eyelids (22 patients) had brassiere sutures. After surgery, the mean change in TPS was 2.10 mm with brassiere sutures compared to 2.04 mm without (p \<.001). The mean change in BFS was 3.33 mm with brassiere sutures compared to 3.19 mm without (p \<.001), The mean change in TPS:BFS ratio at all 3 anatomic landmarks was statistically significant in both groups but the change was statistically greater with the use of brassiere sutures (p \<.001).

Brassiere sutures during upper blepharoplasty were associated with a postoperative increase in TPS decrease in BFS, and increase in TPS/BFS.

Study Timeline

• Study Start: 2014-12
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Status Verified: 2016-07
• Study First Submitted: 2016-08-21
• Study First Submitted QC: 2016-08-21
• Last Update Submitted: 2016-08-21
• Study First Posted: 2016-08-25
• Last Update Posted: 2016-08-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 2

Inclusion Criteria

• Female underwent cosmetic upper blepharoplasty and brassiere suture with blepharoplasty

Exclusion Criteria

• History of thyroid eye disease, levator dehiscence ptosis, blepharospasm, facial nerve paresis, a history of previous upper facial surgery or trauma, and postoperative follow-up for less than 6 months.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Traditional upper blepharoplasty	Brassiere suture with blepharoplasty	Patients with an odd total number of letters in their first name received traditional upper blepharoplasty.
Brassiere suture with blepharoplasty	Traditional upper blepharoplasty	The rest of the patients received orbicularis oculi muscle fixation to periosteum (brassiere sutures)

Primary Outcome Measures

Name	Time	Method
Eyelid measurements of traditional blepharoplasty and brassiere suture, before and after surgery	6 months

Secondary Outcome Measures

Name	Time	Method
Asymmetry of TPS and BFS in traditional blepharoplasty and brassiere suture	6 months