Lower eyelid blepharoplasty technique and their indications

doi:10.3969/j.issn.1673-7040.2001.03.001

Abstract：Objective　To observe the clinical effect of different types of blepharoplasty technique on baggy deformities of lower eyelid, for accumulating clinical experience in blepharoplasty. Methods　On 236 cases of baggy deformities of lower eyelid, transconjunctival orbital fat removal, partial skin removal, orbicularis oculi musculoplasty, transcutaneous orbital fat removal and reinforcement of supporting structures of lower eyelids, or orbital fat preservation blepharoplasty were used according to patients individual conditions. Results　secondary blepharoplasty were done in 2 cases with irregular surfaces and 1 case with asymmetrical skin incision; 3 cases had ecchymosis and 2 cases had separation of eyelid from eyeball in early stage which completely disappeared later; the others had satisfactory results. Conclusion　Patients with saggy deformities are quite different in their cause, age, occupation and expectation for the operation, most of them could obtain satisfactory results so long as the general condition of patients is evaluated, suitable techniques are used and careful procedures are performed.