A New Method of Orbital Septal Fat Flap in Transconjunctival Approach

Area of Science:

• Oculoplastic surgery
• Facial aesthetic surgery

Background:

• Transconjunctival blepharoplasty has limitations in correcting tear trough deformities due to restricted orbital fat volume and pedicle length.
• Reconstructing the orbital fat flap offers a potential solution to improve tear trough coverage and aesthetic results.

Purpose of the Study:

• To introduce and evaluate an innovative technique for orbital fat flap reconstruction in blepharoplasty.
• To enhance tear trough coverage and optimize aesthetic outcomes in lower eyelid surgery.

Main Methods:

• A modified technique involving orbital fat flap reconstruction with meticulous preservation of vascular supply.
• Microsurgical dissection and precise positioning of the fat flap to ensure tear trough coverage and facial symmetry.
• Postoperative evaluation of functional and aesthetic outcomes.

Main Results:

• The technique achieved complete tear trough coverage and significantly reduced postoperative retraction.
• Patients reported improved aesthetic results, including natural lower eyelid contour and preservation of the "Lower-lid Pretarsal Roll."
• No major complications such as fat atrophy or eyelid retraction were observed.

Conclusions:

• Reconstructing the orbital fat flap is an effective advancement in blepharoplasty for tear trough deformities.
• This technique offers superior coverage, minimizes complications, and enhances patient satisfaction.
• It represents a significant improvement in lower eyelid contour surgery.