Application of"triangular fixation"of orbital septal fat pedicle in transconjunctival lower blepharoplasty
DING Jianke
CUI Jiangbo
LIU Chaohua
SONG Baoqiang
Abstract：Objective To investigate the clinical efficacy of the"triangular fixation"technique for orbital septal fat pedicle in transconjunctival orbital fat repositioning for the correction of lower eyelid bags with tear trough deformity.Methods A retrospective analysis was conducted on 721 patients with lower eyelid bags and tear trough deformity treated between June 2023 and June 2025.All pa-tients underwent transconjunctival orbital fat repositioning using the"triangular fixation"technique,which combines two-point external fixation with one-point periosteal internal fixation.Postoperative outcomes were assessed based on patient satisfaction scores and improve-ment in Hirmand tear trough classification.Results All surgeries were completed,with a mean operative time of(40.0±4.6)min and a mean follow-up period of(8.0±5.4)months.The patient satisfaction score was(4.5±0.7),with 462 patients being delighted and 191 satisfied.Significant improvement was observed in Hirmand classification across type Ⅰ,Ⅱ,and Ⅲ tear trough deformities.Postopera-tive complications were minimal,including 5 cases of minor hematoma,15 cases of under-correction,21 cases of transient dry eye,and 5 cases of temporary diplopia,all of which resolved without sequelae.Conclusion The"triangular fixation"technique in transconjunctival orbital fat repositioning is a safe and effective method for simultaneously addressing lower eyelid bags and tear trough deformity,yielding high patient satisfaction and low complication rates,which warrants its clinical application.
Keywords：Lower eyelid bagsTear trough deformityTransconjunctival approachOrbital fat repositioning
Publication Date：2026-01-15
Online Publishing Date：2026-03-25(First online date of this platform, not the publication date of the document)
Pages：4( 24-27 )