J Korean Ophthalmol Soc.  2019 Mar;60(3):205-209. 10.3341/jkos.2019.60.3.205.

Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients

• Choi B
• Yang S
• Park J
• Lee H
• Baek S

• KMID: 2440446
• DOI: http://doi.org/10.3341/jkos.2019.60.3.205

Abstract

PURPOSE
The purpose of this study was to investigate the effect of transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients over 60-years-old.
METHODS
The study included 39 patients (16 male patients, 23 female patients) over 60 years of age and over a six-month of follow-up period who had undergone transconjunctival approach lower blepharoplasty combined with pinch skin excision technique. All included patient's medical record were reviewed for success rate of operation, recurrence rate, postoperative complication occurrence and the degree of patients' satisfaction.
RESULTS
The success rate of surgery during the mean follow-up period of 6.3 months was 97% among total of 39 patients. There were five cases of reported complications; 3 patients with ectropion in which 1 of 3 patients underwent tarsal strip operation for the correction of ectropion, 2 with chemosis. All patients were satisfied with the final results; Average satisfaction score of 4.26.
CONCLUSIONS
The transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients had high success rates and patient satisfaction scores. Elderly patients with prominent lower eyelid fat with skin excess will satisfy with this technique for low complication rates and high cosmetic satisfaction.

Keyword

Blepharoplasty; Conjunctiva; Elderly; Eyelids

MeSH Terms

Aged*
Blepharoplasty*
Conjunctiva
Ectropion
Eyelids
Female
Follow-Up Studies
Humans
Male
Medical Records
Patient Satisfaction
Postoperative Complications
Recurrence
Skin*

Figure

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  Figure 1. Photographs of a patient who underwent transconjunctival-approach lower blepharoplasty combined with pinch skin excision. (A) Initial preoperative photograph and (B) postoperative photograph at three months after the surgery, respectively.

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  Figure 2. Patient satisfaction evaluation for the correction of dermatochalasis and fat prolapse (total score of 5). number of persons (vertical axis), patient satisfaction score (horizontal axis).

Reference

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