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Updated: May 28, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Preservation of the Palpebral Orbicularis Oculi Muscle in Transcutaneous Lower Blepharoplasty: A Modified Technique
Yidan Su1, Ziying Dong1, Tianhua Ma2
1Department of Plastic and Aesthetic Surgery, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, 266001, Shandong, China.
Background:
Traditional transcutaneous lower blepharoplasty often compromises the orbicularis oculi muscle, raising risks of complications like ectropion.
Objective:
To evaluate the clinical outcomes of a modified transcutaneous lower blepharoplasty technique that preserves the palpebral orbicularis oculi muscle.
Methods:
A retrospective analysis was conducted on 65 patients who underwent this procedure between January and May 2024. Surgical outcomes, complications, and patient satisfaction were assessed.
Results:
The technique effectively improved lower eyelid bag deformity with high patient satisfaction, while avoiding damage to the orbicularis oculi muscle and related complications commonly seen in traditional surgeries.
Conclusions:
The transcutaneous lower blepharoplasty with preservation of the palpebral orbicularis oculi muscle is a safe and effective surgical method, offering excellent aesthetic results, particularly for patients with lower eyelid skin laxity and orbital fat herniation.
Level Of Evidence Iv:
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
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