170 results match your criteria: "Blepharoplasty Transconjunctival Approach"
Long-term stability of transconjunctival midface lift surgery for postblepharoplasty lower eyelid retraction.
J Plast Reconstr Aesthet Surg
July 2022
Instituto de Microcirugía Ocular, IMO, oculoplastic surgery department, Barcelona, Spain.
Article Synopsis
- Lower eyelid retraction after lower eyelid blepharoplasty can lead to symptoms like exposure keratitis and aesthetic issues.
- A study reviewed 74 patients who underwent a transconjunctival midface lift with a hard palate graft, assessing their recovery over a period from 2002 to 2019.
- Results showed significant improvements in eyelid positioning after surgery, especially for those with severe retraction, and the outcomes were both safe and cosmetically pleasing over time.
A retrospective review of transcutaneous and transconjunctival dual approach-A technique for mini-invasive double eyelid blepharoplasty with blepharoptosis correction.
J Plast Reconstr Aesthet Surg
March 2022
Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan; Department of Aesthetic Medicine, Chang Gung Clinic, Taipei, Taiwan; Graduate Institute of Biochemical and Biomedical Engineering, College of Engineering, Chang Gung University, Taoyuan, Taiwan. Electronic address:
Article Synopsis
- Many Oriental individuals have single eyelid folds and droopy eyelids, making it important to perform a double eyelid surgery (DEB) with droopy eyelid correction (BPC) for a better aesthetic outcome.
- This study showcases a mini-invasive technique that combines both DEB and BPC, analyzing the results from 159 eyelids treated in a single period.
- The findings indicate that this dual approach significantly improves eyelid function and aesthetics compared to other methods, showing no complications or need for revisions after 6 months.
Sutureless Transconjunctival Insertion of Eyelid Weights: A Novel Technique.
Ophthalmic Plast Reconstr Surg
January 2022
Eyesthetica, Private Practice, Los Angeles, California, U.S.A.
Article Synopsis
- A new surgical technique for eyelid weight implantation uses a sutureless transconjunctival approach, avoiding external incisions and potentially reducing complications compared to traditional methods.
- The case series involved 13 patients with facial nerve paralysis, successfully receiving eyelid weights in an outpatient setting with no reported complications during a 6-month follow-up.
- Results indicate this sutureless method not only achieves similar functional and aesthetic outcomes as traditional approaches but also enhances patient comfort by eliminating the need for suture removal.
Applicability of a sheep model for training in plastic surgery of eyelids and orbit.
Ear Nose Throat J
February 2022
Department of Ophthalmology, 12312Drexel University College of Medicine, Philadelphia, PA, USA.
Article Synopsis
- The study aims to evaluate if using sheep heads as a fresh tissue model is effective for teaching facial plastic surgery techniques, specifically related to the eyelids and orbit.
- The research involved using ten prepubescent sheep heads after humane euthanasia, exploring various surgical procedures under the guidance of experienced surgeons.
- Results indicate that this model can effectively demonstrate several eyelid surgeries and simulations of human surgeries, although anatomical differences pose limitations for certain procedures.
Guided Internal Fixation Technique for Transconjunctival Orbital Fat Transposition.
J Craniofac Surg
April 2022
Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.
Article Synopsis
- The study presents a new surgical method for fixing orbital fat during lower eyelid surgery (blepharoplasty) using a titanium ring, aiming for more secure internal fixation.
- Conducted between October 2017 and November 2019, the technique involved 51 patients with an average age of 35.7 years, showing promising results with an average surgery time of 52 minutes.
- Most participants reported significant improvements in aesthetic outcomes; 44 were "Very Satisfied" and 7 were "Satisfied," indicating the technique's effectiveness and practicality.
Fan-Shaped Thin Fat Pedicles for Tear Trough Correction Through a Layer-Level Fixation: A Modified Transconjunctival Blepharoplasty.
J Craniofac Surg
September 2021
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Article Synopsis
- *From 2009 to 2018, 492 patients underwent the procedure, which involved a tension-free design and a layer-level fixation technique, ensuring effective and lasting results.
- *Patients reported high satisfaction rates with significant improvements, and while one infection occurred, there were no other serious complications, indicating the procedure's safety and effectiveness.*
Transcutaneous Blepharoplasty with Volume Preservation: Indications, Advantages, Technique, Contraindications, and Alternatives.
Facial Plast Surg Clin North Am
May 2021
Department of Otolaryngology-Head & Neck Surgery, Division of Facial Plastic Surgery, Albert Einstein College of Medicine, New York, NY, USA; Department of Facial Plastic and Reconstructive Surgery, Northwell Health (North Shore LIJ), Manhasset, NY, USA. Electronic address:
The aging appearance of the lower eyelids is multifactorial, involving changes in the skin, orbital fat, orbicularis muscle, soft tissue of the midface, and tear trough. The extent of these changes differs in each case and happens in a background of volume loss that occurs with facial aging. We present the indications, advantages, and technique for volumizing transcutaneous lower blepharoplasty with fat transposition.
View Article and Find Full Text PDFA Modified Approach to Transconjunctival Levator Advancement Offering Intraoperative Options.
Aesthet Surg J
July 2021
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Background: The transconjunctival technique is an effective approach to mild to moderate blepharoptosis repair that does not involve skin incision. However, accurate surgical manipulation of this method is greatly restricted by poor intraoperative evaluation.
Objectives: The aim of this study was to introduce a modified transconjunctival approach with flexible intraoperative adjustments in order to achieve more accurate ptosis correction.
The Selection of Facelift Approach on the Basis of Midfacial Ptosis.
Facial Plast Surg
April 2021
PLLC-Otolaryngology Division, Rochester, New York.
Facial aging in the midface has been described to encompass both soft tissue descent and volumetric change. Currently, there is no established and widely accepted grading system for midfacial ptosis. We propose a simplified grading system for midfacial ptosis ranging from mild to severe in terms of Grades I through III.
View Article and Find Full Text PDFFat Repositioning With a Combination of Internal Fixation and External Fixation in Transconjunctival Lower Blepharoplasty.
Aesthet Surg J
July 2021
The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Background: Various methods on transconjunctival fat repositioning have been promoted to treat tear trough deformities in patients with eye bags.
Objectives: The authors present a modified approach based on the facial soft-tissue spaces with the combined fixation method.
Methods: A total 226 patients underwent this procedure.
Supra-Temporalis Approach for Treating Zygomaticomaxillary Complex Fracture.
J Craniofac Surg
May 2021
Department of Oral and Maxillofacial Surgery, Lanzhou University Second Hospital, Lanzhou, China.
Article Synopsis
- The paper discusses various surgical approaches for treating zygomaticomaxillary complex (ZMC) fractures, highlighting their pros and cons and recognizing a gap in effective techniques for zygomatic arch and body fractures.
- The authors present a new supra-temporalis approach based on a review of eight patients, detailing the minimally invasive technique used for open reduction and internal fixation of these fractures.
- Results showed successful exposure and stabilization of the fractures with minimal incision, positive post-operative outcomes, and the authors conclude that this approach offers an optimal view and is a valuable alternative for complicated cases.
Lower eyelid blepharoplasty: An overview.
Indian J Ophthalmol
October 2020
Research Associate, Jules Stein Eye Institute, UCLA, Los Angeles, California, USA.
Of the two common techniques of lower blepharoplasty, the transconjunctival approach is limited to young patients with prominent herniation of lower fat pad without skin excess and the transcutaneous approach to patients requiring skin excision. However, the current trends not only highlight the traditional sculpting of the three orbital fat pads in lower lid blepharoplasty but also additional relocation of the intraorbital fats for correcting the inferior orbital hollowing. The purpose of this review is to analyze the published literature on common types, techniques, indications, and outcomes of the multiple surgical variants of lower lid blepharoplasty often aimed at treating the redundant skin, steatoblepharon, tear trough deformity, lid laxity, and dermatochalasis, thereby to correct the negative vector and inferior orbital hollowing along with effacement of the lid cheek junction.
View Article and Find Full Text PDFA Six-Year Review of the Latest Oculoplastic Surgical Development.
Asia Pac J Ophthalmol (Phila)
July 2021
Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Purpose: The aim of this study was to summarize the literature from 2012 to 2018 on 4 common cosmetic periocular operative procedures including epicanthoplasty, lateral canthoplasty, and upper and lower blepharoplasty.
Design: Systematic review of epicanthoplasty, lateral canthoplasty, upper and lower blepharoplasty in the period of 6 years.
Methods: A systematic MEDLINE search by 2 independent reviewers was performed on PubMed using the search terms (blepharoplasty) OR double eyelid) OR lateral canthopexy) OR fat repositioning) OR epicanthoplasty) OR love band) AND (From January 2012 to January 2018).
Simple Approach for Internal Fixation of Repositioned Fat Pedicles in Transconjunctival Lower Eyelid Blepharoplasty.
J Craniofac Surg
October 2020
Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Purpose: To introduce an easy and effective approach for internal fixation of repositioned fat pedicles in transconjunctival lower eyelid blepharoplasty.
Methods: Thirty-six consecutive patients underwent fat repositioning transconjunctival lower blepharoplasty from August 2016 to January 2018. After release of the orbicularis oculi muscle and exposure of the intraorbital fat pedicles, a supraperiosteal pocket was dissected.
Effectiveness and Satisfaction Degree of Transconjunctival-Approach Lower Blepharoplasty Combined With Pinch Skin Excision Technique.
J Craniofac Surg
September 2020
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
The purpose of this study was to evaluate and compare the effectiveness and satisfaction of transconjunctival-approach lower blepharoplasty combined with a pinch skin excision technique between young patients (younger than 60 years of age) and elderly patients (older than 60 years of age) in Korea. The medical records of 69 patients who underwent transconjunctival-approach lower blepharoplasty combined with a pinch skin excision technique from January 2003 to February 2018 were reviewed. Success rate postoperative complications, and degree of satisfaction with the surgical technique were evaluated and statistically compared between the 2 different age groups.
View Article and Find Full Text PDFPercutaneous Lower Blepharoplasty: A Novel Technique in Lower Eyelid Aesthetics.
J Craniofac Surg
June 2020
Huseyin Guner Aesthetic Surgery Clinic, Istanbul, Turkey.
Background: More preservative approaches are being adopted in periorbital surgery each day. To avoid the possible complications of transcutaneous and transconjunctival blepharoplasty, the author has developed the safe and simple "Percutaneous Lower Blepharoplasty" technique, which he has been performing since 2008. The technique consists of the removal and transfer of lower orbital fat pads through 4-mm skin incisions with minimal dissection.
View Article and Find Full Text PDFA New Perspective to the Periorbital Aesthetics: Bella Eyes.
Aesthetic Plast Surg
December 2019
, Istanbul, Turkey.
Article Synopsis
- The term "beautiful eyes" refers to youthful and attractive eye characteristics, with standards varying by gender and race; both surgical and nonsurgical methods exist for rejuvenating the periorbital area.
- The "bella eyes" technique combines endoscopic dynamic canthopexy with temporal and brow lifts, aimed at creating a more appealing slanted eyelid, particularly for younger patients.
- Patient satisfaction was high with the "bella eyes" procedure, which resulted in minimal discomfort, well-hidden scars, and improved harmony in the periocular area.
Adjustable Fat Repositioning With Intraoral Anchoring: A New Technique in Transconjunctival Blepharoplasty.
Ann Plast Surg
October 2019
From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
Article Synopsis
- Researchers developed a new method for enhancing lower eyelids by repositioning infraorbital fat through intraoral anchoring during transconjunctival blepharoplasty.
- The study involved 14 patients, averaging about 37 years old, who experienced significant improvement in grooves and midfacial depression, with all reporting satisfaction and no major complications post-surgery.
- This technique offers a customized, effective approach to lower eyelid rejuvenation with minimal recovery time and fewer clinic visits compared to traditional methods.
Amniotic membrane in the surgical treatment of post-blepharoplasty diplopia.
Arch Soc Esp Oftalmol (Engl Ed)
October 2019
Servicio de Oftalmología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España.
Two consecutive cases are presented of vertical diplopia after blepharoplasty. They concern two women aged 41 and 63 years with vertical binocular diplopia after bilateral lower blepharoplasty using a trans-conjunctival approach. The diplopia was presented in both cases in the immediate postoperative period, being stable in one of the cases and progressive in the other.
View Article and Find Full Text PDFLower eyelid retractor (white-line) advancement to correct tarsal ectropion.
Can J Ophthalmol
February 2019
Royal Shrewsbury Hospital, Shrewsbury, United Kingdom.. Electronic address:
Objective: To describe a modification of trans-conjunctival, lower eyelid retractor advancement to correct tarsal ectropion.
Design: A retrospective case review.
Participants: Consecutive patients with lower eyelid tarsal ectropion.
Modified Lower Blepharoplasty with Fat Repositioning via Transconjunctival Approach to Correct Tear Trough Deformity.
Aesthetic Plast Surg
June 2019
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Background: Over the years, many techniques have been described to correct tear trough deformity (TTD). Fat-repositioning lower blepharoplasty via a transconjunctival approach is increasingly applied due to its satisfactory rejuvenating effect. However, those methods have disadvantages such as a complicated surgical approach, residual scar, and long recovery time.
View Article and Find Full Text PDFChanges in Tear Meniscus Height Following Lower Blepharoplasty as Measured by Optical Coherence Tomography.
Korean J Ophthalmol
October 2018
Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Purpose: The lower eyelid serves important roles in tear distribution and drainage. The purpose of this study was to measure the tear meniscus height (TMH) with anterior segment optical coherence tomography after lower blepharoplasty.
Methods: A total of 52 eyes from 26 patients treated between July 2012 and June 2015 were included in the study.
A Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication.
Aesthet Surg J
June 2018
Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.
Article Synopsis
- The text discusses various techniques for lower blepharoplasty, primarily focusing on the modified septal reinforcement method using inverted T-shaped plication to enhance tear-trough appearance while preserving orbital fat.
- A study involving 93 patients, mostly women, highlights the effectiveness of this approach with a follow-up period of approximately 25 months, during which no permanent eyelid complications were reported.
- The findings suggest that this technique effectively reduces the likelihood of postoperative eyelid issues by reinforcing the orbital septum while addressing fat herniation.
Simultaneous Aesthetic Eyelid Surgery and Orbital Decompression for Rehabilitation of Thyroid Eye Disease: The One-Stage Approach.
Aesthet Surg J
September 2018
University of New South Wales Medical School and the University of Notre Dame Medical School, Wagga Wagga, Australia.
Background: Aesthetic rehabilitation of thyroid orbitopathy includes orbital decompression, correction of eyelid retraction, and aesthetic blepharoplasty, performed traditionally in separate stages.
Objectives: To report the results of orbital decompression surgery associated with aesthetic eyelid surgery in one stage for aesthetic rehabilitation of patients affected by thyroid eye disease.
Methods: Retrospective, multicentric study including 40 consecutive patients, who underwent orbital decompression surgery associated with aesthetic eyelid surgery in two centers: Genova (group 1) + Buenos Aires (group 2).