Ultra-minimal pinhole blepharoplasty: A minimally invasive technique for the correction of eyelid bags.

[OBJECTIVE] The aim of the study was to investigate the efficacy and complications of ultra-minimal pinhole blepharoplasty in the treatment of eyelid bags.

[METHODS] This retrospective study included patients with eyelid bags treated using a minimally invasive blepharoplasty technique between May 2018 and June 2021. The postoperative course and complications and patient satisfaction were analyzed.

[RESULTS] A total of 460 patients (136 males and 324 females) were included with a mean age of 42.12 ± 9.76 years. The mean operative time was 24.3 min. After the operation, the patients had no infection, numbness, or lower eyelid varus, valgus, or withdrawal. Nine patients developed transient binocular diplopia, which disappeared 0.5-1 h after surgery. Two patients developed chemosis, which disappeared after therapy. Six months after the operation, 440 (95.65%) patients were satisfied with improvement in their fat bulge. A total of 434 (94.78%) patients were satisfied with improvement in their tear groove.

[CONCLUSION] Ultra-minimal pinhole blepharoplasty is a safe, effective, and minimally invasive treatment for eyelid bags.