EVALUATE THE RESULTS OF SURGERY TO MOVE THE LOWER EYELID FAT BAG TO FILL THE TEAR TROUGH

Thị Mai Anh Đinh 1,, Thị Thu Hiền Nguyễn 2, Thị Ngân Hà Nguyễn 2
1 Phu Tho hospital
2 VIETNAM NATIONAL INSTITUTE OF OPHTHALMOLOGY

Main Article Content

Abstract

Objectives: To evaluate the results of surgery to move the lower eyelid fat bag to fill the tear trough. Subjects and Methods: An uncontrolled clinical intervention study on 50 eyes that underwent surgery to move the lower eyelid fat bag to fill the tear groove through the lower eyelid skin incision to treat the deep lacrimal fissure from March 2022. to September 2023. Results of patients undergoing surgery were 34-74 years old (mean 54.28± 8.76 years old). Comparing the clinical characteristics before and after surgery, there is a clear improvement: reduction of deep lacrimal fissure, fat hernia and excess skin. Most patients are satisfied with the surgery. The main complications were bruising (60.9%), conjunctival edema (25.1%) which resolved spontaneously without re-intervention. Conclusion: Moving the lower eyelid fat bag to fill the tear groove through the skin incision is an effective method for cases of deep lacrimal fissure due to fatty hernia, sagging of the sphincter, skin and ligaments.

Article Details

References

1. Loeb R (1981) Fat pad sliding and fat grafting for leveling lid depressions. Clin Plast Surg 8:757–776
2. Hamra ST (1995) Arcus marginalis release and orbital fat pres- ervation in midface rejuvenation. Plast Reconstr Surg 96:354–362
3. Hamra ST (1998) The zygorbicular dissection in composite rhytidectomy: an ideal midface plane. Plast Reconstr Surg 102:1646–1657
4. M. Mohammed G. Turkmani (2017). New Classification System for Tear Trough Deformity, Wolters Kluwer Health, Inc., Saudi Arabia,
5. Goldberg RA (2000) Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg 105:743–748
6. Duan R, Wu M, Trem M, et al Modified Lower blepharoplasty with fat repositioning via Transconjunctival Approach to correct tear trough Deformity. Aesthetic Plast Surg.2019;43(3):680-685.
7. Liao SL, Wei YH (2011) Fat repositioning via supraperiosteal dissection with internal fization for tear trough deformity in an Asian population. Graefes Arch Clin Exp Ophthalmol 249:1735–1741
8. Flowers RS (1993) Tear trough implants for correction of tear trough deformity. Clin Plast Surg 20:403–415
9. Haddock NT, Saadeh PB, Boutros S et al (2009) The tear trough and lid/cheek junction: anatomy and implications for surgical correction. Plast Reconstr Surg 123:1332–1340
10. Coleman SR (1994) The technique of periorbital lipoinfiltration. Oper Tech Plast Reconstr Surg 1:20–26