Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Refining Transcutaneous Lower Blepharoplasty: Key Steps for Minimizing Complications
Author: Adel Alsuhaibani
ePoster Number: 142,00
Purpose
Lower lid blepharoplasty carries the risk of significant, long-lasting complications if not performed correctly. The aim of this study is to explore the outcomes, patient satisfaction, and complications of transcutaneous lower blepharoplasty, with a particular focus on key aspects of the surgical technique that enhance favorable results and minimize adverse effects.
Methods
A retrospective chart review of a primary lower transcutaneous blepharoplasty series conducted over a two-year period was performed. Patients with a history of prior eyelid surgery were excluded. Preoperative demographic and morphological data, surgical techniques, the need for additional procedures, and complications were evaluated from patient charts and standardized photographs taken before and after surgery by an independent observer.
Results
There were 265 patients with a median follow-up of 120 days. Increased scleral show occurred in 3 patients (1%), of those two underwent lower lid retractor release with lateral canthal support. Early intralamellar scarring requiring repeated 5FU injections occurred in 5 patients (1.9%). No other complications were noted. All cases were very satisfied or satisfied with the final outcome.
Conclusion
Transcutaneous LLB, which incorporates component techniques such as controlled skin resection, preservation of orbicularis muscle innervation, preseptal orbicularis suspension, and canthal support (when necessary), has shown improved outcomes with fewer complications and revisions.
Additional Authors
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Abstract ID: 25-265
