Viana Giovanni André Pires, Osaki Midori Hentona, Nishi Mauro
Vision Institute, Department of Ophthalmology, Universidade Federal de São Paulo, São Paulo, Brazil.
Rev Col Bras Cir. 2011 Sep-Oct;38(5):317-22.
To evaluate the results of fifty patients undergoing transcutaneous lower eyelid blepharoplasty.
We conducted a prospective, randomised, controlled trial between April 2005 and May 2007. Patients were randomly divided into two groups: Group 1 consisted of 25 surgical patients undergoing traditional lower blepharoplasty and routine lateral canthopexy; Group 2 consisted of 25 patients undergoing lower blepharoplasty with fat bags transposition and routine lateral canthopexy. We used the Rosenberg Self-Esteem Scale UNIFESP / EPM to assess patients' self-esteem. We also requested the participation of three independent surgeons, who examined the pre and postoperative photographs and quantified the results with the aid of a topographic scale.
The mean age was 48.8 years, predominantly females (96%). The analysis of photographs showed a 96% significant improvement. Self-esteem scores improved from a preoperative average of 5.1 (SD = 4.1) to a mean of 3.6 (SD = 3.5) six months after the operation (p = 0.001).
Both procedures are safe and effective with low complication rates, causing improvement of self-esteem assessed six months after the operation.
