Journal of the Korean Ophthalmological Society 2007;48(6):755-760.
Published online June 30, 2007.
The Effect of Transconjunctival Lower Blepharoplasty Combined with Pinch Skin Excision Technique.
Mi Jung Chi, Min Soo Park, Se Hyun Baek
1Department of Ophthalmology, Gachon University, Gil Medical Center, Incheon, Korea.
2Kong Eye Medical Center, Seoul, Korea.
3Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
핀치 피부 절제법을 병용한 결막접근 아래눈꺼풀 성형술의 효과
지미정1,박민수2,백세현3
Department of Ophthalmology, Gachon University, Gil Medical Center1, Incheon, Korea Kong Eye Medical Center2, Seoul, Korea, Department of Ophthalmology, Korea University College of Medicine3, Seoul, Korea
Correspondence:  Mi Jung Chi, M.D.1
Abstract
PURPOSE
The aim of this study was to analyze the effects of transconjunctival lower blepharoplasty combined with the pinch skin excision technique. METHODS: This study followed 15 patients over a six-month period who had undergone transconjunctival lower blepharoplasty combined with the pinch skin excision technique. The follow-up period exceeded 6 months. After subconjunctival injection of local anesthetic, incisions of the conjunctiva and lower lid retractors were made. The exposed fat pads were excised by clamping, excising, and cauterizing the base of the pad. The conjunctiva was closed with a continuous 6-0 Vicryl suture. If there was mild skin excess, a pinch skin excision technique was used. RESULTS: There were no complications (i.e., lower eyelid retraction, ectropion, etc.). All 15 patients were satisfied with the final result. CONCLUSIONS: The transconjunctival lower blepharoplasty combined with the pinch skin excision technique in middle-aged patients with prominent lower eyelid fat and skin excess had lower complication rates and higher patient satisfaction than the transcutaneous approach.
Key Words: Pinch skin excision technique;Transconjunctival lower blepharoplasty


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