A new approach to lower eyelid-cheek junction rejuvenation.

[BACKGROUND] Anti-aging in lower eyelid-cheek junction area has always been the upmost widely sought of cosmetic surgery. Removal of orbital fat from inside or outside, removal of part of the skin or even the orbicularis muscle, superficial pull and deep fill and a series of surgical procedures like these have been or are becoming the mainstream of clinical practice. However, aging involves a variety of tissues and causes, which is a dynamic and continuous process. Conventional or a single method cannot fundamentally solve all of the problems of the aging in lower eyelid-cheek junction area. Therefore, we propose a better-organized surgical approach based on the whole anatomy of lower eyelid-cheek junction area.

[METHODS] A total of 103 patients received lower eyelid-cheek junction rejuvenation surgery from September 2014 to September 2017 in our department. Efficacy of surgeries was delineated and scored by both patients and surgeons.

[RESULTS] All patients of different ages, genders were relatively satisfied with the lower eyelid-cheek junction rejuvenation surgery in our department. Patients with different past histories of cosmetic surgeries could all benefit from the lower eyelid-cheek junction rejuvenation surgery.

[CONCLUSION] Rejuvenation of lower eyelid-cheek junction area should be based on a thorough understanding of periorbital anatomy, age-related changes of the lid-cheek junction, and the variables controlling lower lid tone and position. The surgical strategies are best used in a graded fashion.