Local retro-orbicularis oculus fat (ROOF) resection in upper blepharoplasty: A retrospective evaluation study of 65
1Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Putuo district, Shanghai 200065, China.
Summary
Resecting retro-orbicularis oculus fat (ROOF) during blepharoplasty effectively reduces puffy upper eyelids. This surgical approach significantly improves aesthetic outcomes for patients seeking correction of puffy eyelids.
Area of Science:
- Ophthalmic plastic surgery
- Aesthetic surgery
Background:
- Puffy upper eyelids are common in Asian populations.
- Standard blepharoplasty may not fully resolve puffiness.
- Retro-orbicularis oculus fat (ROOF) contributes to upper eyelid fullness.
Purpose of the Study:
- To evaluate the effectiveness of upper blepharoplasty combined with ROOF resection for correcting puffy upper eyelids.
- To assess the clinical application and aesthetic outcomes of this combined surgical technique.
Main Methods:
- Sixty-five patients with puffy upper eyelids underwent full-incision blepharoplasty with partial ROOF resection.
- Upper eyelid soft tissue thickness, specifically ROOF, was measured preoperatively and 12 months postoperatively using ultrasound biomicroscopy.
Main Results:
- Surgery was successful in all patients, with 62 patients followed for 12-15 months.
- Preoperative ROOF thickness averaged 0.35-0.42 mm, reduced to 0.18-0.20 mm 12 months post-surgery.
- All patients reported satisfaction with the aesthetic results, with no severe complications observed.
Conclusions:
- Local ROOF resection is an effective method for correcting puffy upper eyelids.
- Combining ROOF resection with blepharoplasty offers significant aesthetic improvement.
- This technique provides a safe and satisfactory solution for puffy upper eyelids.
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