Private Medical Practice, Rasht, Guilan, Iran.
Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran.
Aesthetic Plast Surg. 2024 Aug;48(15):2778-2785. doi: 10.1007/s00266-024-04086-y. Epub 2024 May 8.
The correction of tear trough deformity poses a significant challenge in the context of facial rejuvenation. Our aim was to introduce a technique that corrects tear trough deformity during transconjunctival lower blepharoplasty using minced orbital fat grafts.
The medical records of patients who underwent lower blepharoplasty from January 2019 to December 2021 were reviewed. The study included patients with various grades of tear trough deformity, who underwent lower blepharoplasty using minced orbital fat grafts and followed up for at least 6 months. Modified Barton's grading for tear trough depression, patient satisfaction, and postoperative complications were evaluated.
A total of ninety-eight patients, with a mean age of 48.07 ± 9.72 years, consisting of 93 (94.9%) females were included in the study. The average duration of follow-up was 7.2 months, ranging from 6 to 13 months. Tear trough depression significantly improved after the operation (preoperative tear trough depression grade mean (SD): 3.11 (0.60); postoperative tear trough depression grade mean (SD): 0.87 (0.66); P < 0.001). 78.5% of the participants reported their outcome as excellent or good, 20.4% reported as fair, and 1.0% (only one patient) reported as no improvement. None of the participants rated their outcome as worsening. No major complication was observed during the follow-up period.
Minced orbital fat grafting during transconjunctival lower eyelid blepharoplasty has good effectiveness for correcting tear trough deformity without the risk of major complications.
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在面部年轻化中，矫正泪槽畸形是一项极具挑战性的任务。我们旨在介绍一种在经结膜下睑成形术时使用切碎的眶隔脂肪移植矫正泪槽畸形的技术。
回顾了 2019 年 1 月至 2021 年 12 月期间接受下睑成形术的患者的病历。该研究纳入了不同程度的泪槽畸形患者，他们接受了切碎的眶隔脂肪移植的下睑成形术，并至少随访 6 个月。评估了改良 Barton 分级、患者满意度和术后并发症。
共纳入 98 例患者，平均年龄 48.07±9.72 岁，其中 93 例（94.9%）为女性。平均随访时间为 7.2 个月，6-13 个月不等。术后泪槽凹陷明显改善（术前泪槽凹陷分级平均值（标准差）：3.11（0.60）；术后泪槽凹陷分级平均值（标准差）：0.87（0.66）；P＜0.001）。78.5%的参与者报告其结果为优秀或良好，20.4%报告为一般，1.0%（仅 1 例）报告为无改善。没有参与者报告结果恶化。随访期间未观察到重大并发症。
经结膜下睑成形术时切碎眶隔脂肪移植矫正泪槽畸形效果良好，无重大并发症风险。
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