Clinical application of lower eyelid blepharoplasty with orbital fat releasing and repositioning through supra-suborbicularis oculi fat
10.3760/cma.j.cn114453-20231110-00209
- VernacularTitle:眼轮匝肌下脂肪浅面眶隔脂肪释放重置在下睑成形术中的应用效果
- Author:
Lujia CHEN
1
;
Jieying TANG
;
Weiwei LI
;
Qiang CHEN
;
Shihong ZHANG
;
Chuan WANG
;
Jianmin YANG
Author Information
1. 清华大学附属北京清华长庚医院整形外科 清华大学临床医学院，北京 102218
- Keywords:
Blepharoplasty;
Orbital fat repositioning;
Suborbicularis oculi fat;
Lower eyelid blepharoplasty
- From:
Chinese Journal of Plastic Surgery
2024;40(1):82-87
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of orbital fat releasing and repositioning through supra-suborbicularis oculi fat (SOOF) in lower eyelid blepharoplasty.Methods:The authors retrospectively analyzed the clinical data of patients who received lower eyelid blepharoplasty in the Department of Plastic Surgery, Beijing Tsinghua Changgung Hospital from January 2017 to January 2023. Lower eyelid blepharoplasty with orbital fat releasing and repositioning through supra-SOOF was performed. The tear trough ligament and orbicularis retaining ligament were released between the orbicularis oculi muscle and SOOF via skin approach. Orbital septal fat was released to this space, lateral fat flap was fixed to the SOOF capsule, medial fat flap was fixed to the superficial fascia of the levator labii superioris muscle, orbital septum was repositioned, and lateral canthus was suspended. After the operation, lower eyelid morphology and complications were evaluated.Results:A total of 58 patients were enrolled, including 8 males and 50 females with the age of (49.8 ± 10.4) years (32 to 70 years). All patients had obvious lower eyelid bags on both sides, combining the tear trough deformity and (or) palabromalar groove. Fifty-seven patients were followed up for (29.1 ± 16.9) months (6-67 months). All patients were satisfied with the operation. The appearance of lower eyelid was greatly improved, with elimination of fat prominence and tear trough deformity. Mild lower eyelid ectropion was observed two cases 1 week after the operation, and were relieved by moderate massage 2 weeks postoperatively. In one case, mild lower eyelid retraction was observed 1 month postoperatively, with no complaint of discomfort or further treatments. Bulbar conjunctival hemorrhage occurred in 1 case and recovered without further interventions.Conclusion:Lower eyelid blepharoplasty with orbital fat releasing and reposting through supra-SOOF can effectively release the tear trough ligament and the orbicularis retaining ligament, with stronger fat fixation and less surgical difficulty. After the operation, eyelid contour was flat and tight with fewer complications and higher patient satisfaction.
