Modified Lower Blepharoplasty with Fat Repositioning via Transconjunctival Approach to Correct Tear Trough Deformity

Abstract

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.

Objectives

We modified the surgical technique of fat-repositioning transconjunctival lower blepharoplasty with an effective but easy internal fixation method via a supraperiosteal approach.

Methods

From January 2014 to December 2017, 110 patients underwent bilateral modified lower blepharoplasty with fat-repositioning. Preoperatively, the grade of TTD was evaluated according to Barton's grading system. Postoperative results and complications were assessed during the follow-up period.

Results

TTD was ameliorated in 97.73% of the cases; the remaining 2.27% cases with no improvement underwent revision and achieved Grade 0 on Barton's grading system thereafter. All patients were satisfied with the final outcome. Few postoperative complications were observed, none of which led to a permanent condition. Three cases of local depression and one case of local bulge were treated with surgical refinements. One case of postoperative hemorrhage was healed by electrocautery.

Conclusions

Our modified method of transconjunctival lower blepharoplasty with fat repositioning is safe and effective to improve TTD without severe orbital skin laxity.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2GcijQh

National GP Connect rollout to allow practices to share patient records by March

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from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2GcijQh

National GP Connect rollout to allow practices to share patient records by March

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from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2TCbOct

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MedWorm Message: Have you tried our new medical search engine? More powerful than before. Log on with your social media account. 100% free.

from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2GcijQh

National GP Connect rollout to allow practices to share patient records by March

Practices across the country could be in a position to share GP records with secondary care providers as early as March, Management in Practice understands. GP Connect, an NHS Digital programme, allows clinical staff in primary, secondary and community care to access patients' GP records across different IT systems. NHS Digital told Management in Practise that other functions of GP Connect include allowing authorised users to manage appointments and clinicians to access patients' medications and allergies.Hide related content:  Show related contentread more (Source: Management in Practice)

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