Related Experiment Video
Updated: May 27, 2026
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Clinical outcomes, patients' satisfaction and aesthetic results after lower eyelid blepharoplasty
Giovanni André Pires Viana1, Midori Hentona Osaki, Mauro Nishi
1Vision Institute, Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, Brazil. info@cliniplast.com
Objective:
To evaluate the results of fifty patients undergoing transcutaneous lower eyelid blepharoplasty.
Methods:
We conducted a prospective, randomised, controlled trial between April 2005 and May 2007. Patients were randomly divided into two groups: Group 1 consisted of 25 surgical patients undergoing traditional lower blepharoplasty and routine lateral canthopexy; Group 2 consisted of 25 patients undergoing lower blepharoplasty with fat bags transposition and routine lateral canthopexy. We used the Rosenberg Self-Esteem Scale UNIFESP / EPM to assess patients' self-esteem. We also requested the participation of three independent surgeons, who examined the pre and postoperative photographs and quantified the results with the aid of a topographic scale.
Results:
The mean age was 48.8 years, predominantly females (96%). The analysis of photographs showed a 96% significant improvement. Self-esteem scores improved from a preoperative average of 5.1 (SD = 4.1) to a mean of 3.6 (SD = 3.5) six months after the operation (p = 0.001).
Conclusion:
Both procedures are safe and effective with low complication rates, causing improvement of self-esteem assessed six months after the operation.
