Surgical techniques of lower blepharoplasty with fat repositioning in correcting eyelid bags and tear trough deformities
JU Lijia
WANG Tailing
Abstract：Tear trough deformities and eyelid bags are common aesthetic issues.They frequently develop gradually as people age,giving their faces a worn-out,senile appearance.The development of eyelid bags and tear troughs has been the subject of continuous anatomical research,and the associated therapeutic approaches such as lower eyelid surgery and minimally invasive injectable filling are also being updated and improved.The most straightforward and comprehensive approach to treating eyelid bags and tear troughs is surgery.Plastic surgeons'surgical philosophy shifted from fat removal to the reuse of orbital fat to fill up the midface and lower eyelid depressions following Loeb's initial proposal of the orbital fat transposition treatment in 1981.Complex procedures,including approach selection,liga-ment therapy,orbital fat repositioning,and fixation are all part of lower blepharoplasty with orbital fat repositioning.Each stage has its op-tions and indications.This article reviews and summarises the anatomical research,various surgical techniques,surgical evaluation methods and surgical complications to help plastic surgeons better understand the procedure's development and clinical application status.It also helps them select the best individualised surgical technique for each patient and achieve positive surgical outcomes.
Keywords：Lower blepharoplastyOrbital fat repositioningEyelid bagTear trough deformitySurgical evaluation
Publication Date：2025-01-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 25-29 )