JKOS Journal of the Korean Ophthalmological Society J Korean Ophthalmol Soc 0378-6471 2092-9374 Korean Ophthalmological Society 10.3341/jkos.2019.60.3.205 jkos-60-205 Original Article Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients ChoiBoyoon MD YangSungwon MD ParkJinhwan MD, PhD LeeHwa MD, PhD BaekSehyun MD, PhD Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea Address reprint requests to Sehyun Baek, MD, PhD Department of Ophthalmology, Korea University Guro Hospital, #148 Gurodong-ro, Guro-gu, Seoul 08318, Korea Tel: 82-2-2626-1260, Fax: 82-2-857-8580 E-mail: shbaek6534@korea.ac.kr 09 2019 25 09 2019 603 205 209 04102018 08112018 20022019 Copyright © 2019 Korean Ophthalmological Society 2019 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Purpose

The purpose of this study was to investigate the effect of transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients over 60-years-old.

 Methods

The study included 39 patients (16 male patients, 23 female patients) over 60 years of age and over a six-month of fol-low-up period who had undergone transconjunctival approach lower blepharoplasty combined with pinch skin excision technique. All included patient's medical record were reviewed for success rate of operation, recurrence rate, postoperative complication occurrence and the degree of patients'satisfaction.

 Results

The success rate of surgery during the mean follow-up period of 6.3 months was 97% among total of 39 patients. There were five cases of reported complications; 3 patients with ectropion in which 1 of 3 patients underwent tarsal strip operation for the correction of ectropion, 2 with chemosis. All patients were satisfied with the final results; Average satisfaction score of 4.26.

 Conclusions

The transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients had high success rates and patient satisfaction scores. Elderly patients with prominent lower eyelid fat with skin excess will satisfy with this technique for low complication rates and high cosmetic satisfaction.

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Photographs of a patient who underwent transconjunctival-approach lower blepharoplasty combined with pinch skin excision. (A) Initial preoperative photograph and (B) postoperative photograph at three months after the surgery, respectively.

Patient satisfaction evaluation for the correction of dermatochalasis and fat prolapse (total score of 5). number of persons (vertical axis), patient satisfaction score (horizontal axis).