Transconjunctival orbital fat transposition using direct fixation with deep nasolabial fat in soft-tissue space for the improve-ment of various types of tear trough deformity
XU Miao
LI Wenlin
LI Lu
TANG Weiya
ZHANG Huiying
HE Yang
YANG Ze
XU Fei
FANG Shuo
XING Xin
YANG Chao
Abstract：Objective To explore the improvement effect of various types of tear trough deformity treated by transconjunctival or-bital septal fat repositioning using direct fixation with the lifted deep nasolabial fat in soft-tissue space.Methods From August 2019 to June 2025,a retrospective study of 118 patients(236 eyes)who underwent the transconjunctival orbital fat transposition with normal-vision dissection and direct fixation in soft-tissue space for various types of tear trough deformity.The orbital fat was fixed with the lifted deep na-solabial fat.The collected data included age,surgical outcomes,patient satisfaction,and postoperative complications.The types of tear trough deformity were assessed before surgery according to the Turkmani classification system.Results The mean follow-up time was(12.2±4.2)months.There were 32 cases(13.6％)type Ⅰ,18 cases(7.6％)type Ⅱ,96 cases(40.7％)type Ⅲ and 90 cases(38.1％)type Ⅳ.Among all types of tear troughs,85.6％achieved the best result of complete improvement after surgery,13.1％achieved obvious improvement,the smoothness of the lower eyelid-cheek area was significantly better than before surgery,and only 1.3％required re-treat-ment.No serious short-term or long-term complications were observed.Conclusion In the transconjunctival orbital fat transposition,di-rectly fixing the orbital fat with the lifted deep nasolabial fat in soft-tissue space is safe and effective in the treatment of various types of tear trough,and worthy of clinical application.
Keywords：Tear troughTransconjunctivalOrbital septal fatDeep nasolabial fatDirect fixation
Publication Date：2025-09-15
Online Publishing Date：2025-10-29(First online date of this platform, not the publication date of the document)
Pages：6( 513-517,543 )