Alhumaemydi Rana, Diab Mostafa M, AlSuhaibani Adel H
Department of Ophthalmology, Oculoplastic Unit, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Department of Ophthalmology, Faculty of Medicine, Fayoum University, Faiyum, Egypt.
Saudi J Ophthalmol. 2025 Jun 25;39(2):143-147. doi: 10.4103/sjopt.sjopt_89_25. eCollection 2025 Apr-Jun.
Lower blepharoplasty carries the risk of significant, long-lasting complications if not performed correctly. The aim of this study is to explore the outcomes, patient satisfaction, and complications of transcutaneous lower blepharoplasty, with a particular focus on key aspects of the surgical technique that enhance favorable results and minimize adverse effects.
A retrospective chart review of a primary lower transcutaneous blepharoplasty series conducted over a 2-year period was performed. Patients with a history of prior eyelid surgery were excluded. Preoperative demographic and morphological data, surgical techniques, the need for additional procedures, and complications were evaluated from patient charts and standardized photographs taken before and after surgery by an independent observer.
A total of 265 patients underwent successful transcutaneous lower eyelid blepharoplasty (LLB), yielding satisfactory outcomes with high patient satisfaction during a median follow-up of 120 days. Increased scleral show occurred in 3 patients (1%), of those two underwent lower lid retractor release with lateral canthal support. Early intralamellar scarring requiring repeated 5-fluorouracil injections occurred in 5 patients (1.9%). No other complications were noted. No patients were dissatisfied with the final outcome.
Transcutaneous LLB, which incorporates component steps including controlled skin resection, preservation of orbicularis muscle innervation, preseptal orbicularis suspension, and canthal support (when necessary), has demonstrated improved outcomes with exceptionally low complication and revision rates.
如果下睑成形术操作不当，会有发生严重且持久并发症的风险。本研究的目的是探讨经皮肤下睑成形术的效果、患者满意度及并发症，特别关注能提高良好效果并将不良反应降至最低的手术技术关键环节。
对2年期间进行的原发性经皮肤下睑成形术系列病例进行回顾性图表分析。排除有眼睑手术史的患者。从患者病历以及由一名独立观察者在手术前后拍摄的标准化照片中评估术前人口统计学和形态学数据、手术技术、是否需要额外手术以及并发症情况。
共有265例患者成功接受了经皮肤下睑成形术（LLB），在中位随访120天期间取得了令人满意的效果，患者满意度较高。3例患者（1%）出现巩膜暴露增加，其中2例接受了下睑提肌松解联合外眦支持术。5例患者（1.9%）出现早期板层内瘢痕形成，需要反复注射5-氟尿嘧啶。未发现其他并发症。没有患者对最终结果不满意。
经皮肤下睑成形术包含控制皮肤切除、保留眼轮匝肌神经支配、眶隔前眼轮匝肌悬吊以及必要时的眦部支持等步骤，已显示出改善的效果，并发症和修复率极低。
