Abstract
Background
Compared to the traditional transcutaneous approach, a safe and effective lower eyelid blepharoplasty has been recognized. In 2007, Sadove first reported a series of patients treated with transconjunctival septal suturing, but the inferior orbitopalpebral sulcus was not totally improved.
Purpose
Orbital septal fat release and preservation through the transconjunctival approach was used to treat 20 young patients with bulging bags and inferior orbitopalpebral sulcus.
Method
The orbital septal fat was released and transferred to infraorbital rim to be a base for the inferior orbitopalpebral sulcus.
Result
Obvious bulging fat was released, and the orbitopalpebral sulcus was flattened by released and excessive orbital septal fat. Satisfactory results were achieved.
Conclusion
The results achieved from this series of patients indicate that orbital septal fat release and preservation through the transconjunctival approach for reducing the orbitopalpebral sulcus is a safe and effective treatment for bulging fat and orbitopalpebral sulcus in young patients.
Level of Evidence IV
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Chen, JL., Liu, CH. & Yi, CG. Transconjunctival Orbital Septum Fat Release and Preservation for Orbitopalpebral Sulcus in Lower Eyelid Blepharoplasty. Aesth Plast Surg 41, 568–572 (2017). https://doi.org/10.1007/s00266-017-0809-z
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DOI: https://doi.org/10.1007/s00266-017-0809-z