Effects of embedded guidance technique assisted transconjunctival lower eyelid blepharoplasty
10.3760/cma.j.issn.1671-0290.2024.04.001
- VernacularTitle:埋没导引法辅助经结膜入路睑袋整复术的效果
- Author:
Yarong CHI
1
;
Zhujun LI
;
Lin JIN
;
Jiuzuo HUANG
;
Nanze YU
;
Xiao LONG
Author Information
1. 中国医学科学院 北京协和医院整形美容外科，北京 100032
- Keywords:
Reconstructive surgical procedures;
Transconjunctival lower eyelid blepharoplasty;
Orbital septum fat transposition;
Internal fixation;
Embedded guidance
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(4):307-311
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of embedded guidance technique assisted transconjunctival lower eyelid blepharoplasty.Methods:A retrospective study was conducted to include 88 patients who underwent transconjunctival blepharoplasty and tear trough deformity correction with orbital septum fat release and fixation (referred to as transconjunctival lower eyelid blepharoplasty) at the Department of Plastic and Reconstructive Surgery, Peking Union Medical College Hospital, from October 2021 to August 2022. There were 9 male patients (10.23%) and 79 female patients (88.77%), aged 22 to 51 years, with an average age of (34.42±6.17) years. The internal fixation of septum fat flap was assisted with embedded guidance technique, and the Barton grades system was used to evaluate the surgical effect, while the patient satisfaction and complications were collected.Results:The followed-up period is 6-16 months. Before operation, 35 eyes (19.89%) were classified as Barton Ⅰ, 86 eyes (48.86%) were classified as Barton Ⅱ, and 55 eyes (31.25%) were classified as Barton Ⅲ. After transconjunctival lower eyelid blepharoplasty, 151 eyes (85.80%) recovered to Barton grade 0, 22 eyes (12.50%) recovered to grade Ⅰ, 3 eyes (1.70%) recovered to grade Ⅱ, and no case was grade Barton Ⅲ. The patient satisfaction score was (9.14±1.22) points, and 78 patients (88.64%) were very satisfied. Only 6 patients (6.82%) showed mild complications, mainly including postoperative bilateral lower eyelid asymmetry (3 cases), mild bilateral orbital area ecchymosis (2 cases) and mild surface depression at internal fixation position (1 case).Conclusions:The transconjunctival lower eyelid blepharoplasty assisted by the embedded guidance technique achieves favorable results with high patient satisfaction and few complications.
