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Lower Blepharoplasty with Mid-Face Elevation: A Polydioxanone (PDO) Barbed Suture Loop for Lid-Cheek Junction
Chuqiao Pan1, Zibo Liu1, Kai Liu2
1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, China.
Aesthetic Plastic Surgery
|May 28, 2024
Summary
A new lower blepharoplasty technique combined with a midcheek lift using polydioxanone barbed sutures offers significant facial rejuvenation. This safe and effective procedure improves eyebags and nasolabial folds with high patient satisfaction.
Area of Science:
- Plastic Surgery
- Cosmetic Surgery
- Facial Rejuvenation
Background:
- Lower eyelid-cheek junction aging is a primary concern for cosmetic surgery.
- Existing procedures like orbital fat removal or midcheek lifts yield suboptimal results.
- A novel technique combining lower blepharoplasty with midcheek elevation is introduced.
Purpose of the Study:
- To describe and evaluate a new technique for lower blepharoplasty combined with a midcheek lift.
- To assess the efficacy and safety of this combined procedure using anatomical considerations.
- To determine patient satisfaction and complication rates.
Main Methods:
- A polydioxanone barbed suture loop technique was employed for the combined lower blepharoplasty and midcheek lift.
- The study reviewed 38 procedures performed over three years.
- Efficacy was assessed using 3D volume calculation and photographic documentation.
Main Results:
- Significant rejuvenation of the lower eyelid and elevation of the lid-cheek junction were observed.
- Elimination of eyebags and improvement in nasolabial folds were noted in all patients.
- High patient satisfaction was reported with a low complication rate (3% temporary lower lid retraction).
Conclusions:
- The combined lower blepharoplasty and midcheek elevation technique is safe, effective, and convenient.
- This method provides long-lasting results with a doctor-friendly approach and quick recovery.
- The technique minimizes complications and maximizes patient satisfaction for lower eyelid-cheek rejuvenation.

