170 results match your criteria: "Blepharoplasty Transconjunctival Approach"
Exploring the Versatility of Transconjunctival Blepharoplasty: A Retrospective Single-Center Study.
Cureus
November 2024
Plastic Surgery, Excel Hospital, New Delhi, IND.
Background Transconjunctival blepharoplasty using the postseptal technique provides direct access to orbital fat, offering reduced risk of complications, such as ectropion, entropion, fat over-resection, and inferior oblique muscle palsy. This study aims to evaluate the clinical outcomes and safety of transconjunctival blepharoplasty using the postseptal technique, focusing on the incidence of postoperative complications, the recovery time, and the feasibility of combining ancillary procedures with this approach. Methods In this retrospective observational study, we analyzed the outcomes of 88 patients who underwent transconjunctival postseptal blepharoplasty at a private hospital in northern India between July 2022 and January 2024.
View Article and Find Full Text PDFAssociation between the COVID-19 pandemic and granuloma formation following lower blepharoplasty.
Am J Ophthalmol Case Rep
December 2024
California Pacific Medical Center, Department of Ophthalmology, San Francisco, CA, USA.
Purpose: We hypothesize that lower blepharoplasty post-operative granuloma formation increased during the COVID-19 pandemic.
Observations: Retrospective consecutive case series of first-time lower blepharoplasties performed at an academic private practice. Odds ratios of post-operative granuloma formation before and after the onset of the COVID-19 pandemic were analyzed using a logistic regression model controlling for age, gender, and surgical approach.
Surgical and Non-Surgical Approach for Tear Trough Correction: Fat Repositioning Versus Hyaluronic Acid Fillers.
J Pers Med
November 2024
Postgraduate Master Program "Ocular Surgery", Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
: This paper compares two popular techniques for tear trough correction-fat repositioning and hyaluronic acid (HA) fillers-highlighting their efficacy, safety profiles, patient satisfaction, and associated complications. : A narrative review of 20 studies comparing fat repositioning and HA fillers was conducted, focusing on parameters such as duration of results, volume restoration, complication rates, and patient satisfaction. : Fat repositioning provides long-lasting results but carries higher surgical risks compared with HA fillers.
View Article and Find Full Text PDFA New Method of Orbital Septal Fat Flap in Transconjunctival Approach.
Aesthetic Plast Surg
November 2024
Department of Plastic and Cosmetic, Zhejiang Hospital, No.12 Lingyin Road, Xihu District, Hangzhou City, 310013, People's Republic of China.
Background: Orbital fat release is critical in blepharoplasty for correcting tear trough deformities, but traditional transconjunctival approaches often face limitations due to restricted fat volume and pedicle length. This study introduces an innovative technique by reconstructing the orbital fat flap, aiming to improve tear trough coverage and optimize Aesthet outcomes.
Methods: The technique is achieved by reconstructing the orbital fat flap.
Minimal Access Lateral Approach in Lower Eyelid Blepharoplasty for Three-Dimensional Recontouring.
Clin Plast Surg
January 2025
Core Plastic Surgery, Birmingham, AL 35243, USA; Lehigh Valley Hospital - Pocono, 200 Plaza Court, 447 Office Plaza, Suite B, East Stroudsburg, PA 18301-8529, USA.
Lower eyelid blepharoplasty has historically been approached from one of only two techniques, either the anterior subciliary incision or from the posterior transconjunctival approach. Both have been used with subtractive techniques of skin and fat resection in most cases and both have had issues with post operative lower lid retraction with scleral show, albeit less with the posterior approach. Lateral acces recontouring does not transgress either the anterior or posterior functional muscles of the lower lid and avoids damaging the innervation of the lower lid orbicularis.
View Article and Find Full Text PDFLower Lid Blepharoplasty, Selecting Your Approach.
Clin Plast Surg
January 2025
Head, Section of Aesthetic Surgery, Department of Plastic Surgery, 9500 Euclid Avenue, Desk A60, Cleveland, OH 44195, USA. Electronic address:
Successful lower blepharoplasties address patient-specific lower eyelid, canthal, and lid-cheek junction pathology. Various technical procedures have been described to address the lower eyelid lamellae and tarsoligamentous sling. The most appropriate procedure should be tailored for each patient in an algorithmic approach to ensure optimal esthetic outcomes and minimize risk.
View Article and Find Full Text PDFPercutaneous External Fixation of Redistributed Orbital Fat in Transcutaneous Lower Eyelid Blepharoplasty.
Aesthet Surg J
October 2024
The First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Background: While percutaneous external fixation has gained popularity in transconjunctival blepharoplasty due to its simplicity and minimal incision, internal fixation remains the standard approach in transcutaneous blepharoplasty.
Objectives: This study aims to assess the safety and effectiveness of percutaneous external fixation specifically in transcutaneous fat repositioning blepharoplasty.
Methods: From May 2022 to December 2023, a consecutive cohort of 97 patients underwent this surgical technique.
Inferior Rectus Muscle Thermal Injury Following Transconjunctival Blepharoplasty Using Carbon Dioxide Laser.
J Craniofac Surg
October 2024
Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Research Institute for Convergence of Biomedical Science and Technology, Yangsan, Gyeongnam, South Korea.
Article Synopsis
- A 56-year-old woman developed vertical diplopia following the removal of lower eyelid fat using a laser, with symptoms worsening on looking down.
- During exploratory surgery, it was found that the right inferior rectus muscle had detached and suffered thermal damage, requiring surgical intervention.
- After strabismus surgery to reposition the eye muscles, the patient achieved corrected alignment in primary gaze but still experiences limited movement when looking down.
Extending the Indications for Direct Transcutaneous Lower Blepharoplasty With an Infraorbital Incision to Tear Trough Deformities, Suborbicularis Oculi Fat, Festoons, and Revision Blepharoplasty.
Plast Surg (Oakv)
August 2024
Schlosspark Klinik Ludwigsburg, Privatklinik für Plastische und Ästhetische Chirurgie, Ludwigsburg, Germany.
Article Synopsis
- Treating big problems with the lower eyelids can be tough, especially with loose skin and fat pads!
- A new method called direct transcutaneous blepharoplasty uses a specific cut under the eye to fix these issues safely!
- In a study with 21 patients, everyone felt happy with their results after surgery, and the scars looked good too!
Static and Dynamic Filler-Associated Tear Trough Deformities: Manifestations and Treatment Algorithm.
Aesthetic Plast Surg
July 2024
Department of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Shuaifuyuan 1#, Dongcheng District, Beijing, 100730, People's Republic of China.
Article Synopsis
- * The study followed 22 patients experiencing filler-related deformities over three years, using methods like hyaluronidase dissolution and MRI to assess and treat their conditions.
- * Results showed that most patients were satisfied with the outcomes, and deformities were categorized into static and dynamic, emphasizing the need for treatment to align with the type of filler used.
Persistent Conjunctival Chemosis after Lower Lid Blepharoplasty: A Comparison of Different Surgical Techniques.
J Clin Med
April 2024
Department of Ophthalmology, IRCCS Humanitas Research Hospital, Rozzano, 20089 Milan, Italy.
Article Synopsis
- Conjunctival chemosis is a potential complication from lower blepharoplasty that can lead to discomfort and functional issues after surgery.
- A study conducted at Humanitas Research Hospital analyzed 1047 patients who underwent two different surgical techniques for lower blepharoplasty: transconjunctival and transcutaneous, each with two methods of incision.
- Results showed that the transcutaneous blepharoplasty with lateral canthoplasty had a significantly higher rate of persistent type 3 conjunctival chemosis compared to the transconjunctival technique, particularly when using radiofrequency methods.
A new algorithm for the transconjunctival correction of moderate to severe upper eyelid ptosis in adults.
Sci Rep
January 2024
Department of Ophthalmology, Military Institute of Medicine-National Research Institute, 128 Szaserow St, 04-141, Warsaw, Poland.
Article Synopsis
- A posterior approach is suggested for corrective surgery of mild to moderate upper eyelid ptosis in adults, focusing on a new algorithm to predict outcomes for moderate to severe cases.
- The study involved 118 procedures on 81 adult patients treated from 2019 to 2021, assessing outcomes like eyelid height symmetry, cosmetic results, and any complications post-surgery.
- Results showed significant improvement in eyelid position (from 0.2 mm to 4.1 mm), with 95% of patients achieving inter-eyelid height symmetry within 1 mm, indicating the algorithm's effectiveness in achieving reliable outcomes.
Avoiding Pretarsal Denervation in Lower Blepharoplasty Incisions: Refined Pretarsal Motor Nerve Anatomy.
Plast Reconstr Surg
July 2024
the Department of Anatomy, Catholic Institute for Applied Anatomy, College of Medicine, The Catholic University of Korea.
Article Synopsis
- Pretarsal atrophy is a common issue for patients who have lower blepharoplasty due to nerve damage during the procedure; new insights into the motor supply for the lower eyelid are needed to prevent this complication.* -
- A study examined 46 cadaveric hemifaces to identify a safe zone for muscle incisions and a danger zone for infraorbital incisions that could affect nerve integrity during lower blepharoplasty.* -
- Findings indicate specific measurements create a "safe zone" for incisions that can protect the motor nerves responsible for eyelid function, while caution is advised in the identified danger zone to avoid heat damage during surgery.*
[Transconjunctival lower eyelid blepharoplasty with "super released" orbital fat in correction of tear trough and palpebromalar groove depression].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
June 2023
Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.
Article Synopsis
- The study aimed to evaluate the effectiveness of a specific eyelid surgery technique, transconjunctival lower eyelid blepharoplasty using "super released" orbital fat, in correcting lower eyelid issues like pouch protrusion and grooving.
- It analyzed clinical data of 82 patients, predominantly female, with various degrees of eyelid deformities and used a grading system to assess the severity before and after surgery.
- Results showed significant improvement in eyelid appearance, with a majority achieving grade 0 or grade I deformities, while only minor complications occurred, and no serious issues like infections or hematomas were reported.
Application of infraorbital rim augmentation with pocket fat filling to correct tear trough deformity.
Front Surg
May 2023
Department of Plastic and Cosmetic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Article Synopsis
- Tear trough deformity is a common issue in facial rejuvenation that is difficult to correct, but a new technique using orbital fat injections has been successfully implemented at the author's institution for over five years.
- The study involved 172 patients who underwent lower eyelid augmentation with varying methods, including orbital fat filling and autologous granule fat, to improve cosmetic results.
- Results showed high patient satisfaction and effective correction of lower eyelid deformities, validated by cadaveric dissections that illustrated the anatomical technique used.
Sutureless transconjunctival insertion of eyelid gold weight.
Am J Otolaryngol
June 2023
Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
Article Synopsis
- The study introduces a minimally invasive technique for eyelid weight implantation in patients with paralytic lagophthalmos, using a sutureless and transconjunctival approach.
- Six patients underwent the procedure, resulting in successful functional and aesthetic outcomes without discomfort or postoperative complications.
- This new method simplifies the process by avoiding external incisions and suture removal, while still achieving results comparable to traditional techniques.
Internal Fixation of Redistributed Orbital Fat in Transconjunctival Lower Eyelid Blepharoplasty.
Plast Reconstr Surg
April 2024
From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.
Article Synopsis
- A new surgical technique for transconjunctival lower blepharoplasty was introduced to treat lower eyelid bags and tear trough deformities by suturing orbital fat to the midcheek.
- The study included 22 patients aged 22 to 39 with significant fat prolapse, who experienced successful aesthetic improvement with no major complications.
- This method offers a safe and effective way to correct these issues without the need for additional external sutures, providing promising results based on an average follow-up of about 11.8 months.
Transconjunctival Lower Eyelid Blepharoplasty with Volume Augmentation for Correction of the Lower Eyelid and Cheek Junction.
Facial Plast Surg
February 2023
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Article Synopsis
- Aesthetic surgical management for the inferior periorbital area focuses on adding volume to the midface and treating issues like fat herniation in the lower eyelids and skin conditions.
- * Combining fat grafting and a transconjunctival technique for accessing lower eyelid fat can achieve better aesthetic results while reducing risks.
- * Using fat from the thigh and abdomen provides enough material to enhance volume in the cheeks, midface, and around the eyes, aiming to restore a youthful look without excessive fat removal.
Surgical Correction of Tear Trough Deformity (TTD) with Orbicularis Retaining Ligament Release and Volume Augmentation for Periorbital Rejuvenation: Review of the Literature.
Aesthetic Plast Surg
February 2023
Annals of Burns & Fire Disasters, Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Article Synopsis
- Tear trough deformity (TTD) is associated with aging but can occur at any age, presenting challenges that require both volume enhancement and management of orbital fat and cheek tissue issues.
- Surgical options for TTD include minimally invasive techniques with fillers or fat transfer, and more invasive procedures like blepharoplasty aimed at overall facial rejuvenation.
- A review of 435 studies on TTD led to the selection of 44 relevant papers, highlighting that successful treatment typically involves releasing the tear trough retaining ligament and repositioning orbital fat to enhance volume.
Single access upper blepharoplasty and lower lid lateral fat pad removal: A proven technique with low recurrence rate.
J Plast Reconstr Aesthet Surg
November 2022
Plastic Surgery Department, I.R.C.C.S Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi, 4, 20161 Milano, Italia. Electronic address:
Article Synopsis
- The transconjunctival approach in lower lid blepharoplasty avoids muscle damage and scarring but struggles with accessing the lateral fat pad (LFP), leading to the use of upper blepharoplasty for LFP removal in this study.
- A study reviewed 47 patients who underwent combined upper and lower blepharoplasty using a single access method, focusing on patient outcomes and complications.
- Results showed improved aesthetic outcomes and patient satisfaction, with minimal risks and complications, highlighting the safety and effectiveness of this combined technique for eyelid surgery.
Lower Lid Blepharoplasty in Men.
Clin Plast Surg
April 2022
235 Plain Street, Suite 502, Providence, RI 02905, USA. Electronic address:
Article Synopsis
- * The preferred technique for lower lid surgery in men is a transconjunctival approach, which allows for the removal and repositioning of excess fat while addressing specific facial grooves.
- * Effective lower lid surgery must include stabilization and tightening methods to avoid malposition and restore a youthful appearance.
Article Synopsis
- * Common symptoms in patients included exophthalmos/proptosis and impaired ocular movement, with vascular malformations and ocular adnexal lymphomas being the most frequent histological findings.
- * The study highlights the importance of accurate surgical planning and the use of various surgical methods for biopsy or resection to avoid complications in managing orbital tumors.