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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications.

Rana Alhumaemydi1, Mostafa M Diab1,2, Adel H AlSuhaibani1,3

  • 1Department of Ophthalmology, Oculoplastic Unit, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|July 11, 2025
PubMed
Summary
This summary is machine-generated.

Transcutaneous lower blepharoplasty (LLB) offers favorable outcomes and high patient satisfaction. This technique, focusing on specific surgical steps, results in exceptionally low complication and revision rates for aesthetic eyelid surgery.

Keywords:
Complicationslower eyelid blepharoplastytranscutaneous

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Area of Science:

  • Oculoplastic surgery
  • Facial plastic surgery

Background:

  • Lower blepharoplasty can lead to significant complications if not performed correctly.
  • Understanding techniques to improve outcomes and patient satisfaction is crucial.

Purpose of the Study:

  • To evaluate outcomes, patient satisfaction, and complications of transcutaneous lower blepharoplasty.
  • To identify key surgical techniques that enhance results and minimize adverse effects.

Main Methods:

  • Retrospective review of 265 primary transcutaneous lower blepharoplasty cases over 2 years.
  • Exclusion of patients with prior eyelid surgery.
  • Analysis of demographic data, surgical techniques, and complications using standardized photographs.

Main Results:

  • High patient satisfaction and satisfactory outcomes observed in 265 patients.
  • Complications included 1% scleral show (two patients requiring revision) and 1.9% intralamellar scarring.
  • No other complications or patient dissatisfaction were reported.

Conclusions:

  • Transcutaneous lower blepharoplasty, incorporating controlled skin resection, muscle innervation preservation, orbicularis suspension, and canthal support, yields improved outcomes.
  • This technique demonstrates exceptionally low complication and revision rates.
  • Component-based surgical approach enhances safety and efficacy in lower eyelid rejuvenation.