Transcutaneous lower blepharoplasty with septal fat repositioning combined with lateral canthopexy:clinical application
JI Linlin
LI Yichang
LIU Chaoying
WENG Meng
TIAN Yaguang
Abstract：Objective To evaluate the clinical efficacy and safety of transcutaneous approach orbital septal fat repositioning lower blepharoplasty combined with lateral canthoplasty.Methods A retrospective analysis was conducted on 45 patients with lower eyelid bags accompanied by tear trough deformity who underwent correction in the Department of Plastic Surgery at Shenyang Seventh People's Hospital from May 2023 to January 2025.During lower blepharoplasty,dissection was performed along the preseptal space via a subciliary incision without disturbing the periosteum below the orbital rim,preserving its integrity to provide a stable anchoring point for subsequent fixation.The released orbital fat was repositioned and sutured fixedly onto the infraorbital rim periosteum.A lateral canthal extension inci-sion was used to perform lower eyelid composite flap suspension and lateral canthoplasty.Results Postoperative follow-up ranged from 6 to 24 months.The lid-cheek junction was smooth,and the tear trough deformity was significantly improved.Among the 45 patients,42(93.3％)were very satisfied with the outcome,and 3(6.7％)were satisfied.Conclusion Transcutaneous orbital septal fat repositioning blepharoplasty combined with lateral canthoplasty achieves harmonious rejuvenation of the lower eyelid-midface complex through anatom-ical restoration and volumetric redistribution,demonstrating significant clinical value.
Keywords：Transcutaneous approach lower blepharoplastyOrbital septal fat repositioningComposite flap suspension of lower eyelidFacial rejuvenation
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：4( 540-543 )