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Case Reports in Plastic Surgery and Hand Surgery Volume 7, 2020 - Issue 1
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Case Reports

Stepwise surgery with variable adjustments for severe blepharochalasis with multiple chemical sensitivity: a case report

Hisato NaganoDepartment of Plastic and Reconstructive Surgery, National Defense Medical College Hospital, Tokorozawa, JapanCorrespondence[email protected]
,
Takashi DomotoDepartment of Plastic and Reconstructive Surgery, National Defense Medical College Hospital, Tokorozawa, Japan
,
Ryuichi AzumaDepartment of Plastic and Reconstructive Surgery, National Defense Medical College Hospital, Tokorozawa, Japan
&
Tomoharu KiyosawaDepartment of Plastic and Reconstructive Surgery, National Defense Medical College Hospital, Tokorozawa, Japan
Pages 20-22 | Received 01 Oct 2019, Accepted 17 Jan 2020, Published online: 29 Jan 2020

Figures & data

Figure 1. (A, B) Preoperative appearance: marked ptosis and crepey eyelid skin.

Figure 1. (A, B) Preoperative appearance: marked ptosis and crepey eyelid skin.

Figure 2. (A) Palpebral skin exhibits epidermal spongiosis and perivascular lymphocyte infiltration, suggesting superficial dermatitis compatible with blepharochalasis (hematoxylin and eosin, ×200). (B) Elastic fibers are reduced in the superficial dermis and exhibit fragmentation (arrowhead, elastica van Gieson, ×200). (C) Immunostaining reveals perivascular IgA deposits (arrow, ×100).

Figure 2. (A) Palpebral skin exhibits epidermal spongiosis and perivascular lymphocyte infiltration, suggesting superficial dermatitis compatible with blepharochalasis (hematoxylin and eosin, ×200). (B) Elastic fibers are reduced in the superficial dermis and exhibit fragmentation (arrowhead, elastica van Gieson, ×200). (C) Immunostaining reveals perivascular IgA deposits (arrow, ×100).

Figure 3. (A) Appearance at 3 months after the first operation. (B) Appearance at 8 months after the second operation. (C) Appearance at 15 months after the third operation.

Figure 3. (A) Appearance at 3 months after the first operation. (B) Appearance at 8 months after the second operation. (C) Appearance at 15 months after the third operation.

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