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Transconjunctival Orbital Septum Fat Release and Preservation for Orbitopalpebral Sulcus in Lower Eyelid
Jia-Liang Chen1, Chao-Hua Liu2, Cheng-Gang Yi2
1Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, 15 Changle Road, Xi'an, 710000, Shanxi Province, China. chenjl55@126.com.
Background:
Compared to the traditional transcutaneous approach, a safe and effective lower eyelid blepharoplasty has been recognized. In 2007, Sadove first reported a series of patients treated with transconjunctival septal suturing, but the inferior orbitopalpebral sulcus was not totally improved.
Purpose:
Orbital septal fat release and preservation through the transconjunctival approach was used to treat 20 young patients with bulging bags and inferior orbitopalpebral sulcus.
Method:
The orbital septal fat was released and transferred to infraorbital rim to be a base for the inferior orbitopalpebral sulcus.
Result:
Obvious bulging fat was released, and the orbitopalpebral sulcus was flattened by released and excessive orbital septal fat. Satisfactory results were achieved.
Conclusion:
The results achieved from this series of patients indicate that orbital septal fat release and preservation through the transconjunctival approach for reducing the orbitopalpebral sulcus is a safe and effective treatment for bulging fat and orbitopalpebral sulcus in young patients.
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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