J Korean Ophthalmol Soc > Volume 60(3); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(3):205-209.
DOI: https://doi.org/10.3341/jkos.2019.60.3.205    Published online March 15, 2019.
Effect of Transconjunctival Approach Lower Blepharoplasty Combined with Pinch Skin Excision Technique in Elderly Patients.
Boyoon Choi, Sungwon Yang, Jinhwan Park, Hwa Lee, Sehyun Baek
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr
60세 이상 고령환자군에서 핀치 피부절제법을 병용한 결막접근 아래눈꺼풀성형술의 효과
최보윤⋅양성원⋅박진환⋅이 화⋅백세현
고려대학교 의과대학 안과학교실
Correspondence:  Sehyun Baek,
Email: shbaek6534@korea.ac.kr
Received: 4 October 2018   • Revised: 8 November 2018   • Accepted: 20 February 2019
Abstract
PURPOSE
The purpose of this study was to investigate the effect of transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients over 60-years-old. METHODS: The study included 39 patients (16 male patients, 23 female patients) over 60 years of age and over a six-month of follow-up period who had undergone transconjunctival approach lower blepharoplasty combined with pinch skin excision technique. All included patient's medical record were reviewed for success rate of operation, recurrence rate, postoperative complication occurrence and the degree of patients' satisfaction. RESULTS: The success rate of surgery during the mean follow-up period of 6.3 months was 97% among total of 39 patients. There were five cases of reported complications; 3 patients with ectropion in which 1 of 3 patients underwent tarsal strip operation for the correction of ectropion, 2 with chemosis. All patients were satisfied with the final results; Average satisfaction score of 4.26. CONCLUSIONS: The transconjunctival approach lower blepharoplasty combined with pinch skin excision technique in elderly patients had high success rates and patient satisfaction scores. Elderly patients with prominent lower eyelid fat with skin excess will satisfy with this technique for low complication rates and high cosmetic satisfaction.
Key Words: Blepharoplasty;Conjunctiva;Elderly;Eyelids


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