Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients

Boyoon Choi; Sungwon Yang; Jinhwan Park; Hwa Lee; Sehyun Baek

doi:10.3341/jkos.2019.60.3.205

Journal List > J Korean Ophthalmol Soc > v.60(3) > 1117647

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Choi, Yang, Park, Lee, and Baek: Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients

Original Article

J Korean Ophthalmol Soc 2019;60(3):205-209.

Published online: 25 September 2019

DOI: https://doi.org/10.3341/jkos.2019.60.3.205

Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients

Boyoon Choi, MD, Sungwon Yang, MD, Jinhwan Park, MD, PhD, Hwa Lee, MD, PhD, Sehyun Baek, 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

Received 4 October 2018 Revised 8 November 2018 Accepted 20 February 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.

Keywords: Blepharoplasty, Conjunctiva, Elderly, Eyelids

References

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Figure 1.

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.

Figure 2.

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).

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