This is about minimal invasive procedure to lift drooped eyelids. This presentation was spoken in 3rd Int`l congress of Korea-Japan-China Aesthetic Surgery & Medicine on 25, Oct, 2015 You can watch procedure video on YouTube. https://youtu.be/lOITt9fk5Bw

1. Minimal invasive treatment
for
Aged Eyelids
Bloom Clinic
Yong Hyun Kwon M.D.

2. Anatomy of eyelid

3. Aging of eyelid

4. Cause of Drooping eyelid
• Increased laxity of skin
• Decreased tension of ligament
• Decreased fuction of muscle
• Apraxia due to cerebral disease

5. Types of aged eyelids
Lateral Bags Dermatochalasis Levator Dehiscence

6. Accessory symptoms
• decreased visual field
• wrinkles of forehead / frown
• dermatitis

7. Indication of treatment
• Increased skin laxity
• Patients who want natural changes
• Patients who want less downtime

8. Treatment with Laser
• Laser Treatment induces Shrinkage
• Shrinkage removes laxity of skin
• Thermal damage rather than ablation
References
• J Cosmetic and Laser Therapy, 2009; 11: 190–201
Fractional CO2 laser resurfacing of photoaged facial and non-facial skin: Histologic and clinical results and side effects ;
G H. SASAKI et al
• ASLMS 2006
CO2 laser induced ablative micropatterns in skin ; Pandolfino et al

9. Thickness of Eyelid skin
• just below the eyebrow (D) (1.127 +/- 238 microm)
• The upper tarsal area (C)832 +/- 213
• mid tarsal area (B) 703 +/- 103
• near the ciliary margin (A) (320 +/- 49 microm
• The epidermis accounted for 11.2% of the entire skin near the ciliary margin
• The distance between ciliary margin and the point where the skin turns
suddenly thicker was 1.89 +/- 0.23 mm
References
• J Craniofac Surg. 2006 Jan;17(1):54-6.
Thickness of Korean upper eyelid skin at different levels. ; H K Kim et al
• Plast Reconstr Surg. 2005 May;115(6):1769-73
Analysis of Facial Skin Thickness: Defining the Relative Thickness Index ; R Y. Ha, M.D. et al

10. Thread Insertion
dermaspring eye

11. Treatment with PDO Thread
• tensing fibrosis in the surrounding tissue.
• collagen and elastin genesis
• role as scaffold
• facial lifting and body contouring
References
• KDA 2013
Nonsurgical powered face lifting with the combination of PDO(absorbable thread) with ulthera and pneumatic radiofrequency ;
K K Whang
• Dermatologic Surgery: June; 2015 41(6): 720–5
Outcomes of Polydioxanone Knotless Thread Lifting for Facial Rejuvenation ; Suh, Dong Hye et al

12. Before & After

20. Advantages
• For operator
• shorten operation time
• more accurate prediction
• For patients
• shorten downtime
• natural changes

21. Thank you for your
attention!