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Dermatochalasis

MedGen UID:
488892
•Concept ID:
C0423124
•
Anatomical Abnormality; Finding
Synonyms: Baggy eyes; Droopy eyelid skin; Excess skin of eyelid; Extra eyelid skin; Eyelid dermatochalasia; Hooding of eyelids; Redundant eyelid skin
SNOMED CT: Dermatochalasis (246815009); Excess skin of eyelid (246815009)
 
HPO: HP:0010750

Definition

Loss of elasticity of the upper and lower eyelids causing the skin to sag and bulge. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDermatochalasis

Professional guidelines

PubMed

S2k guideline: Laser therapy of the skin.
Paasch U, Zidane M, Baron JM, Bund T, Cappius HJ, Drosner M, Feise K, Fischer T, Gauglitz G, Gerber PA, Grunewald S, Herberger K, Jung A, Karsai S, Kautz G, Philipp C, Schädel D, Seitz AT, Nast A
J Dtsch Dermatol Ges 2022 Sep;20(9):1248-1267. Epub 2022 Sep 13 doi: 10.1111/ddg.14879. PMID: 36098675
Eyelid aging: pathophysiology and clinical management.
Damasceno RW, Avgitidou G, Belfort R Jr, Dantas PE, Holbach LM, Heindl LM
Arq Bras Oftalmol 2015 Sep-Oct;78(5):328-31. doi: 10.5935/0004-2749.20150087. PMID: 26466237
Diagnosis and management of acquired blepharoptosis and dermatochalasis.
Karesh JW
Facial Plast Surg 1994 Apr;10(2):185-201. doi: 10.1055/s-2008-1064569. PMID: 7995536

Recent clinical studies

Etiology

Rejuvenating the aging upper periorbita.
Katircioglu YA, Celik T, Acar DD, Burcu A
Int Ophthalmol 2023 Sep;43(9):3199-3206. Epub 2023 May 15 doi: 10.1007/s10792-023-02720-3. PMID: 37184806
The effect of visually significant dermatochalasis and blepharoptosis on driving safety.
van Landingham SW, Lucarelli KM, McDaniel K, Burkat CN, Lucarelli MJ
Traffic Inj Prev 2021;22(6):473-477. Epub 2021 Jun 16 doi: 10.1080/15389588.2021.1927003. PMID: 34133254
Subbrow Blepharoplasty in Caucasians.
Eid L, Tsirbas A
Plast Reconstr Surg 2021 Mar 1;147(3):604-607. doi: 10.1097/PRS.0000000000007633. PMID: 33620928
The Relationship Between Eyebrow and Eyelid Position in Patients With Ptosis, Dermatochalasis and Controls.
Sinha KR, Al Shaker S, Yeganeh A, Moreno T, Rootman DB
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):85-90. doi: 10.1097/IOP.0000000000001178. PMID: 30124610
Madarosis, milphosis, eyelash trichomegaly, and dermatochalasis.
Vij A, Bergfeld WF
Clin Dermatol 2015 Mar-Apr;33(2):217-26. doi: 10.1016/j.clindermatol.2014.10.013. PMID: 25704941

Diagnosis

The basics of baggy eyelids.
Khanna S, Phelps PO
Dis Mon 2020 Oct;66(10):101037. Epub 2020 Jul 1 doi: 10.1016/j.disamonth.2020.101037. PMID: 32622676
The Relationship Between Eyebrow and Eyelid Position in Patients With Ptosis, Dermatochalasis and Controls.
Sinha KR, Al Shaker S, Yeganeh A, Moreno T, Rootman DB
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):85-90. doi: 10.1097/IOP.0000000000001178. PMID: 30124610
The Phenylephrine Test Revisited.
Barsegian A, Botwinick A, Reddy HS
Ophthalmic Plast Reconstr Surg 2018 Mar/Apr;34(2):151-154. doi: 10.1097/IOP.0000000000000903. PMID: 28353471
Madarosis, milphosis, eyelash trichomegaly, and dermatochalasis.
Vij A, Bergfeld WF
Clin Dermatol 2015 Mar-Apr;33(2):217-26. doi: 10.1016/j.clindermatol.2014.10.013. PMID: 25704941
Diagnosis and management of acquired blepharoptosis and dermatochalasis.
Karesh JW
Facial Plast Surg 1994 Apr;10(2):185-201. doi: 10.1055/s-2008-1064569. PMID: 7995536

Therapy

Evaluation of plasma exeresis as a new technique for non surgical treatment of dermatochalasis.
Hassan AM, Rady AAE, Shalaby OE, Shafik HM, Shaker ESE
J Dermatolog Treat 2022 Mar;33(2):1017-1022. Epub 2020 Jul 29 doi: 10.1080/09546634.2020.1800569. PMID: 32698635
The basics of baggy eyelids.
Khanna S, Phelps PO
Dis Mon 2020 Oct;66(10):101037. Epub 2020 Jul 1 doi: 10.1016/j.disamonth.2020.101037. PMID: 32622676
Selecting the Best Eyelid Techniques.
Bayrak SB, Kriet JD, Humphrey CD
Facial Plast Surg 2018 Oct;34(5):497-504. Epub 2018 Oct 8 doi: 10.1055/s-0038-1672148. PMID: 30296802
Lower Eyelid Blepharoplasty.
Branham GH
Facial Plast Surg Clin North Am 2016 May;24(2):129-38. doi: 10.1016/j.fsc.2015.12.004. PMID: 27105798
Upper Lid Blepharoplasty.
Hahn S, Holds JB, Couch SM
Facial Plast Surg Clin North Am 2016 May;24(2):119-27. doi: 10.1016/j.fsc.2016.01.002. PMID: 27105797

Prognosis

Subbrow Blepharoplasty in Caucasians.
Eid L, Tsirbas A
Plast Reconstr Surg 2021 Mar 1;147(3):604-607. doi: 10.1097/PRS.0000000000007633. PMID: 33620928
Nonsurgical blepharoplasty.
Cantisani C, Amori P, Vitiello G, Tirant M, Thuong VN, Lotti T, Matovic D, Hajzler ZP, Vojvodic A
Dermatol Ther 2019 Nov;32(6):e13119. Epub 2019 Nov 19 doi: 10.1111/dth.13119. PMID: 31606942
The Relationship Between Eyebrow and Eyelid Position in Patients With Ptosis, Dermatochalasis and Controls.
Sinha KR, Al Shaker S, Yeganeh A, Moreno T, Rootman DB
Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):85-90. doi: 10.1097/IOP.0000000000001178. PMID: 30124610
The aging face.
Ko AC, Korn BS, Kikkawa DO
Surv Ophthalmol 2017 Mar-Apr;62(2):190-202. Epub 2016 Sep 28 doi: 10.1016/j.survophthal.2016.09.002. PMID: 27693312
Madarosis, milphosis, eyelash trichomegaly, and dermatochalasis.
Vij A, Bergfeld WF
Clin Dermatol 2015 Mar-Apr;33(2):217-26. doi: 10.1016/j.clindermatol.2014.10.013. PMID: 25704941

Clinical prediction guides

Rejuvenating the aging upper periorbita.
Katircioglu YA, Celik T, Acar DD, Burcu A
Int Ophthalmol 2023 Sep;43(9):3199-3206. Epub 2023 May 15 doi: 10.1007/s10792-023-02720-3. PMID: 37184806
Evaluation of the efficacy and safety of plasma exeresis in periorbital rejuvenation using the Reviscometer(®).
Abdollahimajd F, Beheshti M, Moravvej H
J Cosmet Dermatol 2022 Jun;21(6):2550-2558. Epub 2021 Sep 14 doi: 10.1111/jocd.14418. PMID: 34520602
Dermatochalasis Through Decades: A Histopathologic Study.
Kashkouli MB, Karimi N, Johari-Moghadam MM, Shayanfar N, Aghamirsalim M, Abdolalizadeh P
Ann Plast Surg 2021 Mar 1;86(3):340-344. doi: 10.1097/SAP.0000000000002489. PMID: 33555688
Nonsurgical blepharoplasty.
Cantisani C, Amori P, Vitiello G, Tirant M, Thuong VN, Lotti T, Matovic D, Hajzler ZP, Vojvodic A
Dermatol Ther 2019 Nov;32(6):e13119. Epub 2019 Nov 19 doi: 10.1111/dth.13119. PMID: 31606942
The Phenylephrine Test Revisited.
Barsegian A, Botwinick A, Reddy HS
Ophthalmic Plast Reconstr Surg 2018 Mar/Apr;34(2):151-154. doi: 10.1097/IOP.0000000000000903. PMID: 28353471

Recent systematic reviews

American Society of Plastic Surgeons Evidence-Based Clinical Practice Guideline: Eyelid Surgery for Upper Visual Field Improvement.
Kim KK, Granick MS, Baum GA, Beninger F, Cahill KV, Donnelly KC, Kaidi AA, Kang AS, Loeding L, Loyo M, Patel PA, Roostaeian J, Taghva GH, Varkarakis GM
Plast Reconstr Surg 2022 Aug 1;150(2):419e-434e. Epub 2022 Jul 27 doi: 10.1097/PRS.0000000000009329. PMID: 35895522

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