Abstract ID: 26-326
Refining transcutaneous lower blepharoplasty: Key steps for minimizing complications
Author: Rana Alhumaemydi Base Hospital / Institution: King Saud University medical city
Presentation Type: ePoster Presentation
Purpose
Lower blepharoplasty carries the risk of significant, long‐lasting complications if not performed correctly. This study aims 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
This retrospective study included patients who underwent transcutaneous lower lid blepharoplasty by a single surgeon at Majesty Hospital, Riyadh (Jan 2022–Dec 2023). Patients with prior periocular surgery, recent fillers, or <3 months of follow-up were excluded. Ethical approval and informed consent were obtained. Data collected included demographics, associated procedures, and complications (e.g., scleral show, ectropion, swelling, chemosis, scarring, and muscle injury). Scleral show was defined as the lower eyelid positioned below the limbus in primary gaze.
Results
A total of 265 patients’ records were retrospectively analyzed to assess outcomes following transcutaneous LLB. The mean age of the study population was 54.6 ± 10.6 years (range: 22–84 years of age), and 84.9% were female.
Concurrent upper eyelid blepharoplasty and browplasty procedures were performed on 177 patients (66.8%) and 17 patients (6.4%), respectively. Median follow‐up time was 4 months (range: 3–18 months) [Table 1].
Conclusion
The transcutaneous approach remains the gold standard for lower lid blepharoplasty but carries a 15–20% risk of eyelid malposition and cosmetic complications. These issues are multifactorial, including scarring, laxity, overresection, and orbicularis weakness. While transconjunctival techniques reduce complications, they may not address all aging changes. This study shows that a refined transcutaneous approach focused on conservative resection, muscle preservation, suspension, and canthal support can achieve low complication rates and high patient satisfaction.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Adel | Alsuhaibani | KSU |
| Mostafa | Diab | KSU |