Transconjunctival premaxillary space fat repositioning in lower blepharoplasty
10.3760/cma.j.cn114453-20190820-00253
- VernacularTitle:结膜入路上颌前间隙眶隔脂肪重置矫正眼袋伴泪沟畸形
- Author:
Jianwu CHEN
1
;
Yuzhi WANG
;
Dong ZENG
;
Yanhong WU
;
Bin ZHANG
;
Xiangdong QI
Author Information
1. 南部战区总医院激光美容科，广州 510010
- Keywords:
Blepharoplasty;
Conjunctiva;
Eyelids;
Retrospective studies
- From:
Chinese Journal of Plastic Surgery
2020;36(5):546-550
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of transconjunctival orbital fat repositioning into the premaxillary space for the treatment of eyelid bag and tear trough deformity.Methods:A retrospective review of patients undergoing orbital fat repositioning from April 2018 to June 2019 was performed at the Department of Laser and Plastic Surgery, General Hospital of Southern Theater Command, PLA. 68 patients were included in this series with their age ranging from 19 to 53 (5 males and 63 females). Through a transconjunctival incision, blunt dissection of orbital septum and orbicularis oculi was performed along the preseptal plane to just above the arcus marginalis. Both the orbicularis oculi retaining ligament and the tear trough ligament were sharply released with cutting cautery at its bony origin. Premaxillary space was then entered and separated by blunt dissection between orbicularis oculi and sub-orbicularis oculi fat. Pedicled orbital fat was transposed into the space and secured with percutaneous sutures so as to blend the tear tough. Postoperative result were assessed by self-satisfactory scale and Hirmand classification of tear trough deformity. Scores of self-satisfactory scale were determined as 1 to 5 points according to very satisfied, satisfied, acceptable, not satisfied and very unsatisfied degree respectively.Results:The follow-up was (145.8±82.9) d. The self-satisfactory scale scored 4.47±0.82. Number of the class Ⅰ, Ⅱ, Ⅲ patients reduced from 24, 37, 7 to 7, 0, 0 respectively after the surgery. 20 patients with cheek depression had also been greatly improved. 12 patients had undercorrection of the eyelid bags. 2 patients underwent dry eye that was treated with sodium hyaluronate eye drops and healed within one month. One patient had eyelid numbness which resolved spontaneously. Hematoma developed in one patient who underwent hematoma evacuation surgery. No other complications were seen in any patients.Conclusions:Transconjunctival premaxillary space fat repositioning blepharoplasty is a safe and effective approach for treating eye bags, especially for patients with tear trough deformity and midface depression.
