Transcoronal blepharoplasty

Area of Science:

• Plastic Surgery
• Ophthalmology

Background:

• Patients seeking blepharoplasty may present with concurrent excessive eyelid fat and brow ptosis.
• Dermatochalasis is often minimal in these specific patient cases.

Purpose of the Study:

• To describe a surgical technique for patients with combined eyelid fat and brow ptosis.
• To evaluate the efficacy and safety of coronal brow lift with transcoronal fat removal.

Main Methods:

• A coronal brow lift combined with transcoronal fat removal was performed.
• The prelevator fat pocket was accessed via an incision in the periosteum of the anterior orbital roof.
• The orbital septum and anterior lamella of the eyelid rim were intentionally left undisturbed.

Main Results:

• The surgical approach provided natural-looking results by preserving the eyelid structures.
• Temporary complications, including unilateral ptosis and chemosis, were observed but fully resolved.
• Modifications to the procedure successfully prevented the recurrence of complications.

Conclusions:

• Coronal brow lift with transcoronal fat removal is an effective surgical option for select blepharoplasty patients.
• The technique offers a natural aesthetic outcome by avoiding disruption of the eyelid's anterior lamella.
• The procedure is associated with temporary and reversible complications that can be managed through procedural adjustments.