TITLE:
Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach
AUTHORS:
Alberto Rancati, Patricio Jacovella, Andrea Edoardo Zampieri, Julio Dorr, Mariana Daniele, Santiago Liedtke, Agustin Rancati
KEYWORDS:
Transconjunctival Approach, Transcutaneous Approach, Blepharoplasty
JOURNAL NAME:
Modern Plastic Surgery,
Vol.5 No.1,
December
23,
2014
ABSTRACT: Currently in
lower blepharoplasty, the transconjunctival approach indication has been
limited to young patients without skin excess and prominence of bags; in our
practice this access has become the preferred technique in most of our cases
because it is simpler, faster, prevents bad scarring, produces less orbicularis
muscle trauma, and decreases postoperative edema and possible retractions
(ectropion) in patients with decreased lower palpebral tone. Objective: To
identify important concepts when deciding this approach. Material and Methods:
Retrospective review of 177 patients who underwent lower blepharoplasty by a single surgical group. Regarding
techniques, the transconjunctival approach was selected in 42% of patients while the transcutaneous technique was preferred in 58%. Results: A lower rate of complications was
observed by the transconjunctival approach, with greater patient satisfaction.
Conclusions: In our experience, due to its simplicity and less traumatic effect
on the patient, the transconjunctival approach is an ideal technique, except in
cases where there is lower eyelid weakness and surgical resolution is needed.