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A Modified Procedure for Single-eyelid Asian Females with Lacrimal Gland Prolapse: Lacrimal Gland Reposition combined with Fat Transposition in Double-eyelid Operation

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  • Oculoplastic
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Abstract

Background

The awareness and treatment of lacrimal gland prolapse (LGP) have been primarily improved with a further understanding of lateral eyelid bulging over the decades. However, for Asian single-eyelid females with LGP, a tailor-made procedure applicable to their comparatively young puffy eyes is needed.

Methods

This is a retrospective study. From Jan. 2009 to Jan. 2019, two hundred and three Asian single-eyelid females with LGP, who met the inclusion criteria, underwent double-eyelid surgeries and adjunctive lacrimal gland repositions with preaponeurotic fat transposition. Pertinent demographics, complications, pre-and post-operative photography were collected.

Results

A total of 167 patients completed the 4–24 months’ follow-up (average: 16.3 months). One hundred and thirty-two cases (79.0%) were diagnosed as LGP preoperatively, and the rest (35/167, 21.0%) were diagnosed intraoperatively. All patients (average: 28.4 years old) received modified blepharoplasty. Postoperative symptoms involving local mild pain (2.9%, 5/167), upper eyelid tightness (3.6%, 6/167), and moderate epiphora (9.0%, 15/167) were all recovered spontaneously within one month. Prolapse recurrence and severe complications such as dry eye syndrome were not observed.

Conclusions

We proposed a modified procedure to enhance the diagnosis and treatment of LGP during Asian blepharoplasty. The lacrimal gland suspension and fat transposition assured the cosmetic outcome for selected young, puffy Asian eyes. The supratarsal creases were satisfactory, and the complication rate was low. Furthermore, the rearrangement of preaponeurotic fat smoothed the contour transition and preserved the orbital volume. Therefore, this is a safe and effective technique worth recommending.

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Funding

This study was supported by Education financial support for Peking Union Medical College (Grant No.10023201504022), Education financial support for Peking Union Medical College [Grant Number: 1200418048], and Fundamental Research Funds for the Central Universities [Grant Number: 3332019141].

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Authors and Affiliations

  1. 16th department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, #33 Badachu Road, Shijingshan District, 100144, Beijing, China

    Changsheng Yang, Xiaoshuang Guo, Le Du, Guodong Song, Xianlei Zong, Dong Zhang, Hong Du, Xinhang Dong, Jingyi Zhao & Xiaolei Jin

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  1. Changsheng Yang
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  2. Xiaoshuang Guo
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  3. Le Du
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  4. Guodong Song
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  5. Xianlei Zong
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  6. Dong Zhang
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  7. Hong Du
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  8. Xinhang Dong
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  9. Jingyi Zhao
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  10. Xiaolei Jin
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Correspondence to Xiaolei Jin.

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The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this kind of study, formal consent is not required.

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Patients provided written informed consent for publication. For the use of their images, additional consent was provided.

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Changsheng Yang and Xiaoshuang Guo are co-first authors.

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Yang, C., Guo, X., Du, L. et al. A Modified Procedure for Single-eyelid Asian Females with Lacrimal Gland Prolapse: Lacrimal Gland Reposition combined with Fat Transposition in Double-eyelid Operation. Aesth Plast Surg 45, 1611–1619 (2021). https://doi.org/10.1007/s00266-021-02213-7

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  • DOI: https://doi.org/10.1007/s00266-021-02213-7

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