Work

Guiding Needle‐Assisted Redistribution of Orbital Fat in Transconjunctival Lower Eyelid Blepharoplasty

Year: 2025

Type: article

Abstract: BACKGROUND: Accurate fat redistribution after lacrimal trough ligament release by the conjunctival approach is difficult due to the limited surgical field of view. Therefore, creative methods are urgently needed. AIMS: To explore an innovative technique focused on fat redistribution using a guiding needle in transconjunctival lower eyelid blepharoplasty to correct tear trough deformity. METHODS: Twenty-six patients underwent transconjunctival lower eyelid blepharoplasty. The retroseptal fat was dissected and laid out using a guiding needle for redistribution over the orbital rim. Closing sutures were knotted internally to the periosteum. Patients were followed for 6 months. RESULTS: All patients diagnosed with predominant orbital fat bulge and tear trough deformity without noticeable lower eyelid skin laxity presented impressive correction of the eyelid bags and tear trough deformities at 6 months follow-up. The average score for postoperative effect was 5.692 ± 0.618 on a scale of 1-6 (1 being poor and 6 being good). CONCLUSIONS: This guiding needle is a simple and effective tool for correcting eyelid bags and tear trough deformities by redistributing orbital fat in the transconjunctival lower eyelid blepharoplasty.

Source: Journal of Cosmetic Dermatology

DOI: 10.1111/jocd.70446