Related Experiment Videos
Transconjunctival lower eyelid blepharoplasty. Technique and complications
H I Baylis1, J A Long, M J Groth
1Division of Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, UCLA Medical Center.
Ophthalmology
|July 1, 1989
Summary
Transconjunctival lower eyelid blepharoplasty effectively reduces lower lid fullness from orbital fat. This technique avoids eyelid retraction, a common complication of transcutaneous blepharoplasty, with a low rate of under-excision.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Facial Aesthetics
Background:
- Lower eyelid fullness is often caused by prominent orbital fat.
- Transconjunctival blepharoplasty is a surgical technique to address this.
- Transcutaneous blepharoplasty can lead to complications like lower eyelid retraction.
Purpose of the Study:
- To evaluate the effectiveness and safety of transconjunctival lower eyelid blepharoplasty.
- To assess complication rates associated with the transconjunctival approach.
- To compare the transconjunctival technique's advantages over the transcutaneous method.
Main Methods:
- A consecutive series of 122 transconjunctival lower eyelid blepharoplasties were performed over 24 months.
- Four patients also underwent skin excision using the pinch technique.
- Data on outcomes and complications were prospectively collected.
Main Results:
- The procedure was highly effective in reducing lower lid fullness.
- Under-excision of fat occurred in 7.4% of patients (9/122).
- A single case (0.8%) of moderate postoperative wound hemorrhage was noted; no cases of lid retraction, ectropion, entropion, or over-excision occurred.
Conclusions:
- Transconjunctival lower eyelid blepharoplasty is a safe and effective procedure for prominent orbital fat.
- It successfully avoids lower eyelid retraction, a significant risk with transcutaneous approaches.
- The primary complication observed was under-excision of fat, which is manageable.