Transconjunctival Orbital Septum Fat Release and Preservation for Orbitopalpebral Sulcus in Lower Eyelid Blepharoplasty.
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.


OBJECTIVE
Orbital septal fat release and preservation through the transconjunctival approach was used to treat 20 young patients with bulging bags and inferior orbitopalpebral sulcus.


METHODS
The orbital septal fat was released and transferred to infraorbital rim to be a base for the inferior orbitopalpebral sulcus.


RESULTS
Obvious bulging fat was released, and the orbitopalpebral sulcus was flattened by released and excessive orbital septal fat. Satisfactory results were achieved.


CONCLUSIONS
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.


METHODS
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Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, 15 Changle Road, Xi'an, 710000, Shanxi Province, China. chenjl55@126.com.
Jia-Liang
JL
Chen
Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, 15 Changle Road, Xi'an, 710000, Shanxi Province, China.
Chao-Hua
CH
Liu
Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, 15 Changle Road, Xi'an, 710000, Shanxi Province, China.
Cheng-Gang
CG
Yi
D000273:Adipose Tissue / Q000637:transplantation; D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D002681:China; D015331:Cohort Studies; D004954:Esthetics; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009915:Orbit / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
Blepharoplasty; Inferior orbitopalpebral sulcus; Orbital septal fat