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CompletedNCT02879552Updated Aug 25, 2016

TPS After Upper Blepharoplasty

An observational study in Efficacy of a Technique (Brassiere Sutures), sponsored by Instituto de Olhos de Goiania. Completed. Open to female participants aged 35 Years to 81 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-08-25.

Sponsored by Instituto de Olhos de Goiania · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
2
Ages
35 Years to 81 Years
Sex
Female
01

Study summary

Increased tarsal platform show (TPS) and decreased brow fat span (BFS) are associated with favorable results in women undergoing cosmetic blepharoplasty. The authors evaluate the efficacy of a technique (brassiere sutures) to increase TPS and decrease the BFS.

Read the detailed description

This is a prospective, randomized, comparative, case series study of 100 eyelids (50 consecutive women patients) treated with cosmetic upper blepharoplasty by a single surgeon. Patients were randomized to receive traditional upper blepharoplasty with a single running suture skin closure versus orbicularis oculi muscle fixation to periosteum (brassiere sutures) prior to skin closure. Patient age, follow-up length, complications and treatment were analyzed. The mean of TPS, BFS and TPS/BFS ratio was measured before and after surgery at 3 anatomic landmarks.

56 eyelids (28 patients) were treated with traditional single suture blepharoplasty and 44 eyelids (22 patients) had brassiere sutures. After surgery, the mean change in TPS was 2.10 mm with brassiere sutures compared to 2.04 mm without (p \<.001). The mean change in BFS was 3.33 mm with brassiere sutures compared to 3.19 mm without (p \<.001), The mean change in TPS:BFS ratio at all 3 anatomic landmarks was statistically significant in both groups but the change was statistically greater with the use of brassiere sutures (p \<.001).

Brassiere sutures during upper blepharoplasty were associated with a postoperative increase in TPS decrease in BFS, and increase in TPS/BFS.

02

Conditions studied

  • Efficacy of a Technique (Brassiere Sutures)

Keywords

  • Upper blepharoplasty
  • brassiere sutures
  • tarsal platform show
  • eyeshadow space
  • brow fat span
03

In context

Lead sponsor

Instituto de Olhos de Goiania is the lead sponsor of 27 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 81 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Prospective, randomized, observational case series study included 110 eyelids (50 patients) that underwent cosmetic upper blepharoplasty and brassiere suture.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Female underwent cosmetic upper blepharoplasty and brassiere suture with blepharoplasty

Exclusion criteria

Exclusion Criteria:

  • History of thyroid eye disease, levator dehiscence ptosis, blepharospasm, facial nerve paresis, a history of previous upper facial surgery or trauma, and postoperative follow-up for less than 6 months.
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
2 participants (actual)
Patient registry
No

Groups and cohorts

  • Traditional upper blepharoplasty

    Patients with an odd total number of letters in their first name received traditional upper blepharoplasty.

    Procedure: Brassiere suture with blepharoplasty

  • Brassiere suture with blepharoplasty

    The rest of the patients received orbicularis oculi muscle fixation to periosteum (brassiere sutures)

    Procedure: Traditional upper blepharoplasty

Interventions

  • ProcedureTraditional upper blepharoplasty

    The skin incisions were marked using a skin marking pen. Preseptal orbicularis skin and muscle were removed using a size-15 scalpel blade and scissors. Hemostasis was achieved with conservative electrocuatery. The skin was closed with a running 6-0 nylon suture.

  • ProcedureBrassiere suture with blepharoplasty

    Prior to skin closure as above, three 6-0 polyglactin sutures are passed along the lateral fourth of the orbital rim. The sutures attach the inferior orbicularis oculi edge to the arcus marginalis of lateral ROOF. Sutures are placed until there is a visible "plumping" of the sub-brow tissues.

06

What researchers measure

Primary outcomes

  1. Eyelid measurements of traditional blepharoplasty and brassiere suture, before and after surgery

    Time frame: 6 months

Secondary outcomes

  1. Asymmetry of TPS and BFS in traditional blepharoplasty and brassiere suture

    Time frame: 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Figueiredo MN, Tao J, Akaishi P, Limongi RM. Tarsal platform show after upper eyelid blepharoplasty with or without brassiere sutures. Arq Bras Oftalmol. 2017 Nov-Dec;80(6):345-349. doi: 10.5935/0004-2749.20170085. PubMed 29267567 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Dec 2014, a primary completion of Dec 2015 and a completion of Dec 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 21, 2016
First posted
Aug 25, 2016
Start
Dec 2014
Primary completionActual
Dec 2015
CompletionActual
Dec 2015
Last update
Aug 25, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02879552
Lead sponsor
Instituto de Olhos de Goiania
Collaborators
Centro de Referência em Oftalmologia
Responsible party
Sponsor
First posted
Aug 25, 2016
Start date
Dec 2014
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Aug 25, 2016

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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