Percutaneous Aponeurotomy and Lipofilling in Complex Periorbital Scar Revision

Area of Science:

• Ophthalmology
• Plastic Surgery
• Regenerative Medicine

Background:

• Periorbital scars present significant functional and esthetic challenges due to the delicate surrounding anatomy.
• Existing treatments for complex periorbital scarring often have limitations.

Purpose of the Study:

• To evaluate the efficacy and safety of percutaneous aponeurotomy and lipofilling (PALF) for complex periorbital scars.
• To assess functional and esthetic outcomes following PALF in patients with diverse etiologies of scarring.

Main Methods:

• A case series involving three patients with complex periorbital scarring from surgical, traumatic, and pathological causes.
• The PALF technique involved subcision of fibrotic scar tissue followed by autologous fat grafting.
• Outcomes were assessed based on functional improvements (e.g., eyelid mobility) and esthetic results (e.g., scar appearance, symmetry).

Main Results:

• All three patients demonstrated significant improvements in functional outcomes, including enhanced eyelid mobility and prosthesis positioning.
• Esthetic results were notable, with improved scar appearance, symmetry, and overall contour restoration.
• No major complications were reported during the treatment period.

Conclusions:

• Percutaneous aponeurotomy and lipofilling (PALF) is a safe and effective method for managing complex periorbital scars.
• PALF offers a promising approach to restore both function and esthetics in the periorbital region.
• Further research is recommended to confirm long-term efficacy and explore wider applications.