Aesthetic Plastic Surgery

, Volume 34, Issue 4, pp 466–474

Comprehensive Considerations in Blepharoplasty in an Asian Population: A 10-year Experience

Authors

  • Lingli Guo
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Hongda Bi
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Chunyu Xue
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Junhui Li
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Chao Yan
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Jianxing Song
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
  • Mingli Zhang
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
    • Department of Plastic SurgeryChanghai Hospital, Second Military Medical University
Original Article

DOI: 10.1007/s00266-010-9478-x

Cite this article as:
Guo, L., Bi, H., Xue, C. et al. Aesth Plast Surg (2010) 34: 466. doi:10.1007/s00266-010-9478-x

Abstract

Background

This article discusses the effectiveness, patient selection criteria, complications, and the appropriate procedures for lower blepharoplasty in an Asian population.

Methods

During the past 10 years (1998–2008), a total of 2400 patients underwent lower blepharoplasty in our department. Four different types of lower-blepharoplasty procedures were performed, including the traditional transcutaneous skin flap procedure (n = 862), the transcutaneous skin-muscle flap procedure (n = 738), the transconjunctival procedure (n = 433), and Hamra’s procedure (septal reset and fat-replacing technique) (n = 367). Among these 2400 patients, 925 were available for follow-up. The length of follow-up ranged between 1 month and 10 years.

Results

Most of the patients were satisfied with the result, but 32 patients had some postoperative complications, including five patients with ectropion, five with hollow eyes, two with dry eyes, and 20 with retraction.

Conclusions

Transconjunctival blepharoplasty is the first choice for primary eyelid bags. Transcutaneous lower blepharoplasty (skin flap or skin-muscle flap procedures) is indicated for the senile eyelid with excess skin and muscles. If supporting structures (skin, muscle, and septum) show laxity and other aging stigma are present, including tear trough deformity and obvious skeleton rim, Hamra’s procedure (septal reset and fat-replacing technique) is performed.

Keywords

Transconjunctival lower blepharoplasty Transcutaneous lower blepharoplasty Hamra’s lower blepharoplasty Asian population

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2010