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The "no flap" technique for lower-lid blepharoplasty.
M I Dinner1, H Glassman, J S Artz
1Center for Plastic Surgery, Inc., Cleveland, OH 44122.
Aesthetic Plastic Surgery
|January 1, 1992
Summary
Transconjunctival blepharoplasty avoids lower lid flaps, preventing edema and postoperative lid hang in patients needing fat excision. This technique is beneficial for those without redundant skin, particularly older individuals.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Transconjunctival blepharoplasty is increasingly popular for fat pad excision without skin removal.
- The pinch technique is used for skin excision in lower lid blepharoplasty, especially for senile ectropion.
- Elevating skin or skin/muscle flaps can cause edema and postoperative senile lid hang.
Purpose of the Study:
- To evaluate the efficacy of avoiding lower-lid flaps in lower lid blepharoplasty.
- To prevent postoperative senile lid hang associated with flap elevation.
Main Methods:
- Review of lower lid blepharoplasty techniques.
- Comparison of outcomes between flap and flapless approaches.
- Focus on transconjunctival approach for fat excision.
Main Results:
- Avoiding lower-lid flaps prevents edema in the orbicularis oculi muscle.
- This technique mitigates the risk of postoperative senile lid hang.
- Transconjunctival approach is effective for fat excision without skin redundancy.
Conclusions:
- Avoiding lower-lid flaps in blepharoplasty is crucial for preventing edema and lid hang.
- The transconjunctival approach is a valuable technique for selected blepharoplasty patients.
- This method addresses aesthetic concerns while minimizing surgical complications.