ĐÁNH GIÁ HIỆU QUẢ PHẪU THUẬT ĐIỀU TRỊ RÃNH LỆ SÂU MI DƯỚI BẰNG KỸ THUẬT CHUYỂN VỊ TÚI MỠ QUA ĐƯỜNG MỔ BỜ MI DƯỚI TẠI PHÒNG KHÁM THẨM MỸ DAVINCI

Abstract

Objective: To evaluate the effectiveness of lower eyelid fat repositioning surgery in correcting tear trough deformity. Subjects and Methods: A prospective, uncontrolled clinical intervention study conducted on 223 patients with tear trough deformities who underwent fat repositioning via a transcutaneous lower eyelid incision at Davinci Aesthetic Clinic between January 2020 and January 2025. Results: The average age of patients was 48.13 ± 10.03 years (range: 23–72), with a male-to-female ratio of 1:26. Postoperative assessment showed significant improvements in tear trough depth, lower eyelid fat herniation, and excess skin. There were no cases of grade III tear troughs post-surgery, only 1% had residual grade II deformity, and 71.7% showed complete resolution of the tear trough. Three months postoperatively, no patients had severe fat herniation, and the rate of mild herniation was 5.4%. The incidence of excess skin decreased markedly from 90.1% to 4.5%. Overall surgical outcomes were rated as good, with 93% of patients reporting satisfaction with the results. Conclusion: Lower blepharoplasty with fat repositioning via a lower lid incision is a highly effective approach for rejuvenating the under-eye area, particularly in patients with deep tear troughs accompanied by fat herniation and skin laxity.