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Guided Internal Fixation Technique for Transconjunctival Orbital Fat Transposition.
Lehao Wu1, Tailing Wang, Jianjun You
1Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.
The Journal of Craniofacial Surgery
|September 14, 2021
Summary
A novel titanium ring technique offers secure internal fixation for transconjunctival orbital fat transposition during lower blepharoplasty. This method improves aesthetic outcomes and patient satisfaction with minimal complications.
Area of Science:
- Oculoplastic surgery
- Facial plastic surgery
- Cosmetic surgery
Background:
- Current transconjunctival orbital fat transposition relies on external sutures.
- A need exists for more secure internal fixation of orbital fat to the periosteum.
Purpose of the Study:
- To introduce and evaluate a new technique using a titanium ring for guided internal fixation of orbital fat in lower blepharoplasty.
Main Methods:
- Transconjunctival incisions (8-10 mm) released orbicularis retaining ligaments.
- A titanium ring guided transcutaneous sutures anchored to the periosteum.
- Orbital fat grafts were internally fixated via the guided sutures.
Main Results:
- 51 patients (mean age 35.7 years) underwent the procedure with a mean operative time of 52 minutes.
- No major complications were observed; one case of relapse was successfully corrected.
- All patients showed significant improvement in lower eyelid cosmesis, with 94% rating outcomes as "Very Satisfied" or "Satisfied".
Conclusions:
- The titanium ring-guided internal fixation technique is practical and effective for orbital fat transposition in lower blepharoplasty.
- This method provides a secure and reproducible approach to enhance lower eyelid aesthetics.
