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Correction of tear trough deformity in young patients without eyebags using orbital fat reposition and release of tear trough ligament.
[BACKGROUND] Tear trough deformity (TTD) is a periorbital hollow extending from the medial canthus to the midpupillary line, which is mainly caused by the traction of the tear trough ligament (TTL). This study aimed to present a retroseptal…
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Current Approaches in Periocular Rejuvenation: Our 6-year Experience.
[INTRODUCTION] Periocular rejuvenation involves surgical removal of excess skin, fat debulking, or transfer, and optionally includes eyelid ptosis repair or lateral canthal resuspension. Periocular injectables have revolutionized these esth…
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A Novel Internal Electrocautery-Assisted Lid-Tightening Maneuver in Transconjunctival Lower Blepharoplasty: Case Series and Outcomes.
The internal electrocautery-assisted lid-tightening maneuver, combined with transconjunctival blepharoplasty, offers a scarless and effective approach to improve lower eyelid contour and stability, minimizing the risk of postoperative malpo…
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Transconjunctival Lower Blepharoplasty.
Lower blepharoplasty is among the most performed facial procedures. It is performed by either a transcutaneous or a transconjunctival approach. The transconjunctival approach offers several advantages compared to the transcutaneous approach…
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Transcutaneous Lower Eyelid Blepharoplasty with Skin-Muscle Flap and Orbicularis Muscle Suspension.
Understanding surgical anatomy is crucial for facial plastic surgeons performing blepharoplasty. This article highlights the senior author's 41-year experience with transcutaneous lower eyelid blepharoplasty, emphasizing techniques for opti…
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Improving Periorbital Aesthetics with Volume Augmentation.
Aesthetic surgical management of the inferior periorbital region should include an approach to volume augmentation of the midface and infraorbital hollow, reduction of fat pseudoherniation in the lower eyelids, and treatment of the overlyin…
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Composite Flaps in Subciliary Lower Blepharoplasty: Technique and Postoperative Results Compared to Traditional Methods.
[INTRODUCTION] Lower eyelid blepharoplasty is performed via transconjunctival and subciliary approaches. In the subciliary approach, we have compared 2 methods: biplanar flaps versus a composite flap, with the goal of improved short-term re…
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The Anatomy of Lower Eyelid Fat Pad Vasculature as Found in Lower Eyelid Blepharoplasties.
[PURPOSE] The vasculature within the lower eyelid fat pads in bilateral lower eyelid blepharoplasty (BLLB) surgery is not well described. Characterization of vasculature may help prevent excessive bleeding by describing the locations where …
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Application of a "Door-Shaped" Orbital Septal Fat Flap Combined With Granular Autologous Fat Precision Grafting in Lower-Eyelid Blepharoplasty.
This retrospective single-surgeon series evaluated a composite lower-eyelid rejuvenation technique that combines a transconjunctival, door-shaped orbital septal fat flap with granular autologous fat precision grafting. Consecutive patients …
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Management of functional epiphora with botulinum toxin: a injection after lacrimal surgery.
[PURPOSE] To evaluate the efficacy of botulinum toxin-A (BoNTA) injection for treating functional epiphora after lacrimal surgery. [MATERIALS AND METHODS] Patients with persistent epiphora following anatomically successful 3-snip punctopla…
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Eyelid Nocardiosis After Lower Blepharoplasty.
The authors present a case of eyelid nocardiosis following lower eyelid transconjunctival transposition blepharoplasty with externalized transposition sutures. After incision and drainage of the abscess, microbial cultures revealed Nocardia…
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Transconjunctival or Transcutaneous Approach for Fat-preserving Lower Lid Blepharoplasty?
[BACKGROUND] Lower lid blepharoplasty (LLB) has evolved significantly since its early description. The traditional subciliary incision is no longer the standard, and primary use of fat pad excision has been challenged by orbital fat preserv…
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Minced Orbital Fat Grafting Versus Orbital Fat Repositioning in TCLB for a Young Chinese Population with Eyelid Bags and Tear Trough Deformities.
[BACKGROUND] Fat prolapse and tear trough deformity, indicative of lower eyelid aging, are increasingly prevalent in younger patients. Transconjunctival lower blepharoplasty (TCLB) is a suitable treatment for this demographic. However, ther…
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Long-Term results with the Extended Transconjunctival Lower Eyelid Blepharoplasty: A Prospective Study of 200 Consecutive Cases.
[INTRODUCTION] We first described the extended transconjunctival lower eyelid blepharoplasty in 2017. In this prospective study, we present our long-term outcomes with this technique. [MATERIALS AND METHODS] Two hundred consecutive patient…
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Refined trimming of orbital fat in transconjunctival lower blepharoplasty: A retrospective cohort study on clinical outcomes and aesthetic assessment.
Herniated orbital fat and tear trough deformity are key manifestations of periorbital aging. While transconjunctival lower blepharoplasty effectively addresses these concerns, contemporary fat-preserving techniques can lead to midfacial ove…
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Association of body mass index with orbital fat volume in lower eyelid blepharoplasty.
[PURPOSE] To investigate the relationship between body mass index (BMI) and the volume of orbital fat excised during lower eyelid blepharoplasty. [METHODS] This retrospective cross-sectional study included 58 patients who underwent bilater…
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Application of Orbital Septal Fat Repositioning Combined With SVF-Gel Fillers in Lower Blepharoplasty.
[BACKGROUND] Lower blepharoplasty is a widely used cosmetic surgical procedure to improve under-eye bags and tear trough deformities, aiming to enhance facial aesthetics and achieve a more youthful appearance. The formation of these deformi…
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Transconjunctival lower blepharoplasty with orbital fat repositioning versus fat grafting for tear trough deformity: A prospective, comparative and randomized study.
[BACKGROUND] Fat prolapse and tear trough deformity, indicative of lower eyelid aging, are increasingly prevalent in younger patients. Transconjunctival lower blepharoplasty (TCLB) is a suitable treatment for this demographic; however, trad…
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Guiding Needle-Assisted Redistribution of Orbital Fat in Transconjunctival Lower Eyelid Blepharoplasty.
[BACKGROUND] Accurate fat redistribution after lacrimal trough ligament release by the conjunctival approach is difficult due to the limited surgical field of view. Therefore, creative methods are urgently needed. [AIMS] To explore an inno…
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Complete Orbital Septum Release and Full Integration and Repositioning of Orbital Septal Fat Tissue (F.I.R.S.T.) in Transconjunctival Lower Blepharoplasty.
[BACKGROUND] After the introduction of orbital septal fat release and reposition in transconjunctival lower blepharoplasty (TCLB), few studies have addressed the thorough release of orbital fat tissue to adequately augment the tear trough a…