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IMCAS World Congress 2025
Program

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LIVE AUGMENTED SURGERY & ANATOMICAL DISSECTIONS

Blepharoplasty

Focus program

Room: Amphi Bordeaux - Level 3
Date: Friday 31 January 2025 at 10:30 to 12:30
Format: ANATOMY WORKSHOP > combination of anatomy dissections in parallel with live procedures performed on patients

Chairs

Prof Katarina A ANDJELKOV

Plastic Surgeon

Serbia

Dr Javier BEUT

Cosmetic Surgeon

Spain

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
10:30	Prof Alessandro GUALDI	Panelist		144356
10:30	Dr Gabriele Ferruccio MUTI	Panelist		142306
10:30	Dr Sophie CONVERSET VIETHEL	Panelist		144358
10:30	Dr Joan VANDEPUTTE	Live dissection on cadaver for blepharoplasty		142305
10:30	Dr Joan VANDEPUTTE	[Video live surgery] From blepharoplasty to ptosis	View	142302
10:37	Prof Irina KHRUSTALEVA	Men’s blepharoplasty: Indications and limitations (8 min)		144359
10:59	Prof Reha YAVUZER	Gliding browlifting with upper blepharoplasty (8 min)		144360
11:20	Dr Kritsada KOWITWIBOOL	Asian short incision blepharoplasty (8 min)	View	144361
11:40	Dr Hebert LAMBLET	Clinical outcomes of fat grafting for eyebrow enhancement: Lessons from retrospective case analyses (8 min)		145827

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Periorbital (blepharoplasty - surgical)

Brows (surgical)

Anatomy

Lipofilling (face)

Prof Alessandro GUALDI

Plastic Surgeon

Italy

Other author(s) :

Panelist

Dr Gabriele Ferruccio MUTI

Plastic Surgeon

Italy

Other author(s) :

Panelist

Dr Sophie CONVERSET VIETHEL

Facial Plastic Surgeon

France

Other author(s) :

Panelist

Dr Joan VANDEPUTTE

Plastic Surgeon

Belgium

Other author(s) :

Live dissection on cadaver for blepharoplasty

Dr Joan VANDEPUTTE

Plastic Surgeon

Belgium

Other author(s) :

[Video live surgery] From blepharoplasty to ptosis

Objectives: Description of an operative technique with external access (“open sky exposure”) to correct eyelid ptosis as well as severe blepharochalasis with loss of pretarsal wrinkle definition. The classic, non-resorbable central stitch between the remnant of the levator aponeurosis and the tarsus is replaced by five resorbable sutures, with the objective of obtaining a more natural-looking aspect of the eyelid border. Direct supra brow skin excision as an ancillary procedure is also illustrated.

Introduction: A minority of blepharoplasty candidates presents with poor definition of the pretarsal wrinkle. As the pretarsal skin slides downwards, it becomes a part of the blepharochalasis. If the corrective surgery does not restore some degree of skin invagination on eyelid opening, there is a risk of undercorrection after simple excision, or of lagophthalmos in case of overcompensation. It is not so uncommon for degenerative ptosis to be detected in patients requesting upper blepharoplasty. Few patients are aware of the negative influence of saggy eyebrows on upper eyelids.

Materials / method: The retroseptal fat and the levator palpebrae muscle belly are identified through the upper blepharoplasty incision. The tarsus is clearly exposed through the lower incision. While the assistant exerts firm traction on the eyelid border, the upper, more consistently developed part of the levator aponeurosis can be visualised and spared to a chosen length, while the rest of the tissue between the incisions is removed. The shortened levator aponeurosis is stitched to the tarsus with five poliglecaprone 6/0 sutures. Supra brow skin is excised and the defect is sutured directly.

Results: The correct, deep plane of dissection to expose the levator aponeurosis can be found easier from superiorly, beginning with the muscle belly, as opposed to the confusion between multiple layers inferiorly. A gentle eyelid border curve and appropriate eyelid opening can be reconstructed by using five sutures between the levator aponeurosis and the tarsus rather than one central stitch. The medial and lateral stitches of five easily cause some eyelid tethering or border deformation, important points of attention before closure. Direct supra brow excision is straightforward to plan.

Conclusion: The external approach provides control over the pretarsal wrinkle and skin crease, contrary to transconjunctival ptosis correction. However, the morbidity (stiffness, light irritation of the eye, prolonged oedema) is markedly higher than in conventional blepharoplasty or in transconjunctival ptosis repair. Suturing both skin ends directly to the deep suture line can unequivocally redefine the pretarsal wrinkle. Eyebrow lifting by direct excision is efficacious and versatile, but the visible scar may stay red for up to a year and remain slightly retracted.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Prof Irina KHRUSTALEVA

Plastic Surgeon

Russia

Other author(s) :

Men’s blepharoplasty: Indications and limitations (8 min)

Objectives: what the main differences of men's lids and periorbital zone should be taken into considiration? How to achive a real natural result? Personal experience

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Prof Reha YAVUZER

Plastic Surgeon

Turkey

Other author(s) :

Gliding browlifting with upper blepharoplasty (8 min)

Objectives: A minimally invasive brow lifting through the upper eyelid surgery incision

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of:

Dr Kritsada KOWITWIBOOL

Facial Plastic Surgeon

Thailand

Other author(s) :

Asian short incision blepharoplasty (8 min)

Objectives: Asian eyelid anatomy is different from Occidental eyelid anatomy. Asian eyelids have a single crease. Insertion of levator aponeurotic fiber in subcutaneous is rare and the oriental eyelid will have more orbital fat tissue. Indications for blepharoplasty in Asian eyes include a double eyelid crease creation. We use short incision blepharoplasty in Asian eyes. It’s simple, fast, and incised more than excise. The final will result in shorter operation time, less downtime, and a rapid return to normal activity.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Hebert LAMBLET

Plastic Surgeon

Brazil

Other author(s) :

Clinical outcomes of fat grafting for eyebrow enhancement: Lessons from retrospective case analyses (8 min)

Objectives: Objective

This lecture aims to provide a comprehensive understanding of the clinical outcomes of fat grafting for eyebrow enhancement through a detailed analysis of retrospective case studies. Attendees will learn about the efficacy, safety, and best practices associated with this technique, with a focus on achieving optimal aesthetic results.

Learning Outcomes

Understanding the Procedure and Its Applications

Participants will gain a thorough understanding of the fat grafting procedure and its specific application for eyebrow enhancement.
Discussion will include the fundamentals of fat har

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

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IMCAS World Congress 2025 Program

LIVE AUGMENTED SURGERY & ANATOMICAL DISSECTIONS

Blepharoplasty

Chairs

Lectures of the session

Recommended sessions

IMCAS World Congress 2025
Program