![]() ![]() This operation satisfies both patients and surgeons. Careful performances by surgeons can avoid serious complications. Using an orbital fat flap to treat a tear trough deformity and palpebromalar groove is effective and safe. The lower eyelid bags and lower orbital sulcus deformities were well corrected, allowing recovery with a convex-type facial contour. Releasing the orbital septal fat helped restructure the deformity. Excessive dermatochalasis was removed, excrescent bulging fat was released, and the sulcus deformity was flattened using the orbital fat flap. For the latter 32 patients, the orbital fat was trimmed and flipped to roll over the edge 10 mm from the infraorbital rim to form a base to repair the tear trough deformity and palpebromalar groove. ![]() According to their local anatomy, 98 underwent transcutaneous blepharoplasty surgery only, 59 had it combined with arcus marginalis release, and 32 had it combined with orbital septum fat flap stuffing. Altogether, 189 patients underwent transcutaneous blepharoplasty. Nevertheless, patients with large orbital grooves often complain that the inferior orbitopalpebral sulcus is not sufficiently improved. Plastic surgeons are currently addressing each case individually, depending on the patient's unique circumstances. The inferior orbitopalpebral sulcus deformity is challenging during lower eyelid blepharoplasty. ![]()
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January 2023
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