A Combination of Conventional Transconjunctival Lower Blepharoplasty and Percutaneous Nanofat Grafting in a Young Chinese Population With Eyelid Bags and Tear Trough Deformities

IF 2.5 4区医学 Q2 DERMATOLOGY Journal of Cosmetic Dermatology Pub Date : 2025-01-23 DOI:10.1111/jocd.70009

Chuanbo Liu, Zhiyuan Wu, Liang Tang, Zijing Zhang, Jinsheng Li, Xiaofang Sun

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引用次数: 0

Abstract

Objective

A simple and minimally invasive combined procedure, including transconjunctival orbital fat removal and transcutaneous resected orbital fat injection, was performed based on the anatomical characteristics of the lower eyelids in our young Chinese patients. Our study aimed to investigate the efficacy and safety of this procedure in our study population.

Methods

In our retrospective study, a total of 183 consecutive patients underwent a combination of traditional transconjunctival blepharoplasty and nanofat grafting between February 2020 and June 2024. After transconjunctival septal fat removal, the resected orbital fat was processed into fat emulsion (nanofat) and then injected percutaneously into the depressed tear trough zone.

Results

The mean age of the 183 patients was 26.9 years old, and the average surgery time was 36.1 min. The mean volume of nanofat injected for bilateral lower eyelids in each patient was 1.1 mL. All the patients were followed for at least 6 months after surgery, and the subjective patient satisfaction was 96.6% (175/183) with fewer complications. In the objective assessment of the surgical outcomes according to the five anatomical elements of lower eyelids, orbital fat prolapse, tear trough depression and dark circles were all improved, orbicularis prominence was more evident, while skin elasticity did not vary significantly after operation.

Conclusion

Our study provided a simple, effective, and safe combination of transconjunctival lower blepharoplasty and percutaneous nanofat grafting for the treatment of lower eyelid bags with high patient satisfaction, quick recovery and low complication rate. Thus, this combined application may be a promising alternative choice for the young Chinese with lower eyelid bags.

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传统经结膜下睑成形术联合经皮纳米脂肪移植术治疗中国年轻睑袋及泪沟畸形患者。

目的：针对中国年轻患者下眼睑的解剖特点，采用经结膜眶内脂肪去除和经皮眶内切除脂肪注射的简单微创联合手术。我们的研究旨在调查该手术在研究人群中的有效性和安全性。方法：在我们的回顾性研究中，共有183例连续患者在2020年2月至2024年6月期间接受了传统经结膜眼睑成形术和纳米脂肪移植术的联合治疗。经结膜鼻中隔脂肪去除后，将切除的眶脂肪加工成脂肪乳（纳米脂肪），经皮注入凹陷撕裂槽区。结果：183例患者平均年龄26.9岁，平均手术时间36.1 min。每例患者双侧下眼睑注射纳米脂肪的平均体积为1.1 mL。所有患者术后随访至少6个月，患者主观满意度为96.6%(175/183)，并发症较少。根据下眼睑五解剖要素客观评价手术效果时，眶脂肪脱垂、泪槽凹陷、黑眼圈均有改善，突出轮匝肌更为明显，而术后皮肤弹性无明显变化。结论：经结膜下睑成形术联合经皮纳米脂肪移植术治疗下睑袋简单、有效、安全，患者满意度高，恢复快，并发症发生率低。因此，这种组合应用可能是中国年轻下睑袋患者的一个有希望的替代选择。

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来源期刊

Journal of Cosmetic Dermatology DERMATOLOGY-

CiteScore

4.30

自引率

13.00%

发文量

818

审稿时长

>12 weeks

期刊介绍： The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.