Aesthetic plastic surgery · 2026
A New Method for Creating Lower-Lid Pretarsal Fullness by Fixation of Orbicularis Oculi Muscle-Wrapped Fascia-Fat Flap to the Tarsal Plate.
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He Tibiao, Ding Wei, Li Gaofeng
Аннотация
BACKGROUND: The study aimed to evaluate the clinical efficacy of orbicularis oculi muscle-wrapped fascia-fat flap fixed to the tarsal plate in creating the pretarsal fullness of the lower eyelids.
PATIENTS AND METHODS: This retrospective study included 213 patients who underwent lower pretarsal augmentation surgery between November 2022 and December 2024. The surgical procedure involved wrapping of fascia-fat flap by orbicularis oculi muscle, followed by fixation to the tarsal plate. After surgery, patients were followed up at 1, 3, 6, and 12 months postoperatively. Clinical outcomes, including the contour of the pretarsal fullness of the lower eyelids and patient satisfaction, were evaluated. The occurrence of complications such as hematomas, scarring, infection, trichiasis, lower eyelid retraction, and ectropion were recorded.
RESULTS: The study comprised 5 males and 208 females, with an age range of 20-50 years. Sutures were removed at 7 days after surgery in all patients. The contour of the pretarsal fullness was good, with complete eyelid closure. At 3- and 6-month follow-up, the pretarsal fullness appeared natural, without the occurrence of lower eyelid retraction or incomplete eyelid closure. Depressed scars were not found at the incision site. Among the 213 patients included, 195 were satisfied with the results, 18 were basically satisfied, and none were dissatisfied, yielding a satisfaction rate of 91.5%.
CONCLUSION: Fixation of orbicularis oculi muscle-wrapped fascia-fat flap to the tarsal plate is effective in creating both static and dynamic pretarsal fullness, yielding excellent clinical outcomes.
LEVEL OF EVIDENCE IV: Eyelid Surgery. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 www.springer.com/00266 .
PATIENTS AND METHODS: This retrospective study included 213 patients who underwent lower pretarsal augmentation surgery between November 2022 and December 2024. The surgical procedure involved wrapping of fascia-fat flap by orbicularis oculi muscle, followed by fixation to the tarsal plate. After surgery, patients were followed up at 1, 3, 6, and 12 months postoperatively. Clinical outcomes, including the contour of the pretarsal fullness of the lower eyelids and patient satisfaction, were evaluated. The occurrence of complications such as hematomas, scarring, infection, trichiasis, lower eyelid retraction, and ectropion were recorded.
RESULTS: The study comprised 5 males and 208 females, with an age range of 20-50 years. Sutures were removed at 7 days after surgery in all patients. The contour of the pretarsal fullness was good, with complete eyelid closure. At 3- and 6-month follow-up, the pretarsal fullness appeared natural, without the occurrence of lower eyelid retraction or incomplete eyelid closure. Depressed scars were not found at the incision site. Among the 213 patients included, 195 were satisfied with the results, 18 were basically satisfied, and none were dissatisfied, yielding a satisfaction rate of 91.5%.
CONCLUSION: Fixation of orbicularis oculi muscle-wrapped fascia-fat flap to the tarsal plate is effective in creating both static and dynamic pretarsal fullness, yielding excellent clinical outcomes.
LEVEL OF EVIDENCE IV: Eyelid Surgery. This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 www.springer.com/00266 .