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Correction of Tear Trough Deformity with Minced Orbital Fat Grafts During Transconjunctival Lower Blepharoplasty

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  • Eyelid Surgery
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Abstract

Background

The correction of tear trough deformity poses a significant challenge in the context of facial rejuvenation. Our aim was to introduce a technique that corrects tear trough deformity during transconjunctival lower blepharoplasty using minced orbital fat grafts.

Methods

The medical records of patients who underwent lower blepharoplasty from January 2019 to December 2021 were reviewed. The study included patients with various grades of tear trough deformity, who underwent lower blepharoplasty using minced orbital fat grafts and followed up for at least 6 months. Modified Barton’s grading for tear trough depression, patient satisfaction, and postoperative complications were evaluated.

Results

A total of ninety-eight patients, with a mean age of 48.07 ± 9.72 years, consisting of 93 (94.9%) females were included in the study. The average duration of follow-up was 7.2 months, ranging from 6 to 13 months. Tear trough depression significantly improved after the operation (preoperative tear trough depression grade mean (SD): 3.11 (0.60); postoperative tear trough depression grade mean (SD): 0.87 (0.66); P < 0.001). 78.5% of the participants reported their outcome as excellent or good, 20.4% reported as fair, and 1.0% (only one patient) reported as no improvement. None of the participants rated their outcome as worsening. No major complication was observed during the follow-up period.

Conclusion

Minced orbital fat grafting during transconjunctival lower eyelid blepharoplasty has good effectiveness for correcting tear trough deformity without the risk of major complications.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgement

We would like to acknowledge that Dr. Iman Mohammadbeigy and Dr. Abtin Heirati have contributed equally to this work and should be considered co-first authors of this manuscript.

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Authors and Affiliations

  1. Private Medical Practice, Rasht, Guilan, Iran

    Abtin Heirati

  2. Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran

    Iman Mohammadbeigy, Mohsen Pourazizi & Bahram Eshraghi

Authors
  1. Abtin Heirati
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  2. Iman Mohammadbeigy
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  3. Mohsen Pourazizi
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  4. Bahram Eshraghi
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Corresponding author

Correspondence to Bahram Eshraghi.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Written informed consent was obtained from all of the participants.

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Heirati, A., Mohammadbeigy, I., Pourazizi, M. et al. Correction of Tear Trough Deformity with Minced Orbital Fat Grafts During Transconjunctival Lower Blepharoplasty. Aesth Plast Surg (2024). https://doi.org/10.1007/s00266-024-04086-y

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