Aesthetic plastic surgery · 2026
Clinical Application of the Percutaneous Orbital Fat Release Technique for Correcting Lower Eyelid Bags and Lacrimal Groove Deformities.
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Zhang Yang-Yang, Zhang Guo-Hui, Li Hai-Qi, Xu Jing-Ran
Аннотация
BACKGROUND: Severe lower eyelid blepharoplasty complications and lacrimal groove deformities can significantly impact a person's overall appearance and well-being. Although various treatment methods exist, this article focuses on clinical research related to the surgical correction of lower eyelid blepharoplasty combined with lacrimal groove deformities.
OBJECTIVE: To retrospectively analyze the clinical efficacy of the percutaneous orbital fat release technique for correcting lower eyelid blepharoplasty combined with lacrimal groove deformity in 23 patients.
METHODS: The patients in this study underwent a procedure in which an appropriate amount of skin was removed, and the orbital fat was secured to the distal fixed periosteum or the superficial layer of the periosteal fascia.
RESULTS: The patient satisfaction rate after surgery was 95.65%, and the improvement rate, according to the physician's evaluation, was 91.30%. The incidence of complications was 21.74%.A significant improvement in the tear trough deformity was observed at the 6-month post-operative follow-up compared to the pre-operative baseline, with a statistically significant difference ( Z = - 4.218 , P < 0.05 ).
CONCLUSIONS: The transcutaneous orbital fat release technique significantly improves Barton grading scores at the 6-month post-operative follow-up, demonstrating clinical feasibility and favorable preliminary efficacy in correcting lower blepharochalasis associated with tear trough deformity. However, given the limitations of a small sample size and the lack of a parallel control group, its long-term stability and broader clinical generalizability warrant further validation through large-scale, high-quality studies.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. 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 .
OBJECTIVE: To retrospectively analyze the clinical efficacy of the percutaneous orbital fat release technique for correcting lower eyelid blepharoplasty combined with lacrimal groove deformity in 23 patients.
METHODS: The patients in this study underwent a procedure in which an appropriate amount of skin was removed, and the orbital fat was secured to the distal fixed periosteum or the superficial layer of the periosteal fascia.
RESULTS: The patient satisfaction rate after surgery was 95.65%, and the improvement rate, according to the physician's evaluation, was 91.30%. The incidence of complications was 21.74%.A significant improvement in the tear trough deformity was observed at the 6-month post-operative follow-up compared to the pre-operative baseline, with a statistically significant difference ( Z = - 4.218 , P < 0.05 ).
CONCLUSIONS: The transcutaneous orbital fat release technique significantly improves Barton grading scores at the 6-month post-operative follow-up, demonstrating clinical feasibility and favorable preliminary efficacy in correcting lower blepharochalasis associated with tear trough deformity. However, given the limitations of a small sample size and the lack of a parallel control group, its long-term stability and broader clinical generalizability warrant further validation through large-scale, high-quality studies.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. 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 .