PMID- 35668229 OWN - NLM STAT- MEDLINE DCOM- 20221026 LR - 20230824 IS - 1432-5241 (Electronic) IS - 0364-216X (Linking) VI - 46 IP - 5 DP - 2022 Oct TI - Comparison of Postoperative Scarring in Asian Women After Supra-brow and Sub-brow Blepharoplasty: A Retrospective Study. PG - 2280-2286 LID - 10.1007/s00266-022-02954-z [doi] AB - BACKGROUND: Supra-brow and sub-brow blepharoplasty are two types of upper eyelid blepharoplasties that are commonly performed in middle-aged Asian women to correct skin laxity of the upper eyelid; the postoperative scar formation of the two procedures may be different. Therefore, we designed this retrospective study to explore the differences in postoperative scarring between patients receiving supra- or sub-brow blepharoplasty. METHODS: We identified 52 patients who underwent supra-brow blepharoplasty and 54 patients who underwent sub-brow blepharoplasty. For each patient, the scar quality was assessed using photographs, the Observer Scar Assessment Scale (OSAS), and the Patient Scar Assessment Scale (PSAS) 1 year following surgery. RESULTS: For OSAS, higher scores for pigmentation, thickness, relief, pliability, surface, and overall opinion were observed in patients who underwent supra-brow blepharoplasty (p < 0.05) except for the "vascular score" (p = 0.148). The average overall opinion scores of the supra- and sub-brow blepharoplasty were 3.90 +/- 0.41 and 2.33 +/- 0.48, respectively, indicating that acceptance of postoperative scars in patients who underwent supra-brow blepharoplasty was worse than that in patients who underwent sub-brow blepharoplasty. Significantly higher scores were observed in all items of PSAS items for patients with supra-brow blepharoplasty (p < 0.05). CONCLUSIONS: The postoperative scars in patients who underwent supra-brow blepharoplasty were more obvious than those in sub-brow blepharoplasty. From the perspective of postoperative scar formation, sub-brow blepharoplasty may be a more suitable choice for patients. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . CI - (c) 2022. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery. FAU - Qu, Linghan AU - Qu L AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. FAU - Liang, Zhen AU - Liang Z AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. FAU - Wang, Jianzhang AU - Wang J AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. FAU - Zhang, Juan AU - Zhang J AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. FAU - Yu, Zhou AU - Yu Z AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. yz20080512@163.com. FAU - Song, Baoqiang AU - Song B AD - Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, 127 Changle West Road, Xincheng District, Xi'an, Shaanxi, China. songbq2012@163.com. LA - eng PT - Journal Article DEP - 20220606 PL - United States TA - Aesthetic Plast Surg JT - Aesthetic plastic surgery JID - 7701756 SB - IM CIN - Aesthetic Plast Surg. 2023 Jun;47(Suppl 1):187. PMID: 36315262 MH - Middle Aged MH - Humans MH - Female MH - *Blepharoplasty/adverse effects/methods MH - Cicatrix/etiology/surgery MH - Retrospective Studies MH - Eyelids/surgery MH - *Sleep Apnea, Obstructive/surgery OTO - NOTNLM OT - Blepharoplasty OT - Postoperative scar OT - Skin laxity OT - Sub-brow OT - Supra-brow OT - Upper eyelid EDAT- 2022/06/07 06:00 MHDA- 2022/10/27 06:00 CRDT- 2022/06/06 23:23 PHST- 2022/02/23 00:00 [received] PHST- 2022/05/15 00:00 [accepted] PHST- 2022/06/07 06:00 [pubmed] PHST- 2022/10/27 06:00 [medline] PHST- 2022/06/06 23:23 [entrez] AID - 10.1007/s00266-022-02954-z [pii] AID - 10.1007/s00266-022-02954-z [doi] PST - ppublish SO - Aesthetic Plast Surg. 2022 Oct;46(5):2280-2286. doi: 10.1007/s00266-022-02954-z. Epub 2022 Jun 6.