Rejuvenation of the deep superior sulcus in the eyelid.
BACKGROUND
Nowadays, a number of patients seeking cosmetic surgery for their sunken upper eyelid are increasing. The aim of this study was to provide an overview of the various treatment options for sunken superior sulcus with reported complications and to discuss effective methods for treatment.


METHODS
In a PubMed search, studies involving patients undergoing correction of sunken superior sulcus with various treatment options were included.


RESULTS
A systematic search revealed twelve articles representing 680 cases that satisfied inclusion criteria. All were case series, and no randomized controlled studies were found. Five reported on augmentation of the deformity with surgery, while hyaluronic acid filler was used in four reports. There was a report attempting to correct the deformity by the microautologous fat grafting. The combined surgical approaches including ptosis correction with upper blepharoplasty and appropriate fat grafting were used in two reports. About 7.2% of patients (49/680) experienced complications, with 4.3% requiring re-operation, while no severe complications were observed.


CONCLUSIONS
By careful identification of the clinical features and proper classification of the types of sunken superior sulcus, the treatment plan can be specified.
Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, South Korea.
Hyung Suk
HS
Moon
Secret Plastic Surgery Clinic, Seoul, South Korea.
Byungjoon
B
Ahn
Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, South Korea.
Jun Hee
JH
Lee
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, South Korea.
Dong Kyun
DK
Rah
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, South Korea.
Tae Hwan
TH
Park
D000273:Adipose Tissue / Q000637:transplantation; D019882:Blepharoplasty; D003357:Cosmetic Techniques / Q000009:adverse effects; D000067548:Dermal Fillers / Q000627:therapeutic use; D005143:Eyelids / Q000601:surgery; D006801:Humans; D012060:Rejuvenation
D000067548:Dermal Fillers
review; sunken eyelid; sunken superior sulcus