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Document Type

Original Article

Abstract

Abstract

Background: Whether fat is moved into the subperiosteal or supraperiosteal plane, transconjunctival blepharoplasty with fat relocation is performed safely with great outcomes. Although there are differences in the two treatments' immediate postoperative course, both have comparable and great long-term outcomes.

Objective: Of the study is to assess effectiveness, technique and drawbacks of fat transposition using subperiosteal against supraperiosteal planes during transconjunctival lower blepharoplasty.

Methods: Prospective, interventional, randomised comparative research, 30 individuals (60 eye lids) with lower eyelid fat bags and tear trough abnormality were randomly chosen. Research was done between July 2019 and December 2022. At Cairo's Al-Azhar University hospitals, patients underwent examinations, surgeries. Patients were placed into two groups randomly: Group A had subperiosteal fat transposition for 30 eyelids; Group B received supraperiosteal fat transposition for 30 eyelids.

Results: Compared to 70% & 30% respectively in group (A), we found a greater incidence of haemorrhage in group B, which was mild to moderate in 36.37% and severe in 63.3%. Additionally, we found that group (B) had a greater incidence of postoperative ecchymosis, which was mild to moderate in 43.3% and severe in 56.7%, compared to group (A)'s 73.3% & 26.7%, respectively. Regarding the correction of the tear trough and patient satisfaction, there was no statistically significant difference between the two groups.

Conclusion: Despite differences in the surgical technique and immediate postoperative course, both strategies provide comparable long-term outcomes. Postoperative outcomes did not substantially differ between the two groups in terms of patient satisfaction or tear trough healing.

Keywords

lower blepharoplasty; fat transposition; tear trough

Subject Area

Ophthalmology

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