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IMCAS Asia 2025
Program

Face surgery - Blepharoplasty (in collaboration with THSAPS & THPRS)

Partner of the session

THSAPS

The Society of Aesthetic Plastic Surgeons of Thailand

Thailand

Partner of the session

THPRS

The Society of Plastic and Reconstructive Surgeons of Thailand

Thailand

The Society of Plastic and Reconstructive Surgeons of Thailand

National Thailand Society of Plastic, Reconstructive and Aesthetic Surgeons.

Room: Room 5 - Level 2
Date: Friday 6 June 2025 at 11:00 to 13:00
Format: FOCUS SESSION > lectures covering a major topic of the congress

Chairs

Prof Apirag CHUANGSUWANICH

Plastic Surgeon

Thailand

Dr Seree IAMPHONGSAI

Plastic Surgeon

Thailand

Lectures of the session

Hours	Speakers	Lecture title	Abstract	Number
11:00	Dr Pitawan RACHATA	Correction of brow ptosis with upper blepharoplasty		146734
11:12	Dr Seree IAMPHONGSAI	Frontalis advancement		146726
11:24	Dr Hisaaki MUNAKATA	UMEDA study: upper eyelid burial surgery for middle-aged and elderly patients with dermatochalasis	View	146733
11:36	Dr Haitao XIAO	A new strategy to improve the outcome of transconjunctival lower blepharoplasty: the F.I.R.S.T. technique	View	146735
11:48	Dr Hudson Alex LAZARO	Association of blepharoplasty and phenol croton peeling in facial rejuvenation		146736
12:00	Dr Viral Ramesh DESAI	Fat grafting and SVF: one stop solution for under eye issues and aging		146727
12:12	Dr Sebastien GARSON	Youth of the lower eyelid to achieve long term satisfaction		146728
12:24	Dr Ashish DAVALBHAKTA	Tired eyes: pathology and its correction		146729
12:36	Dr Paisal RUMMANEETHORN	Transconjunctival blepharoplasty make easy		149488
12:48		Discussion and Q&A		146737

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Recommended sessions

Periorbital (blepharoplasty - surgical)

Lipofilling (face)

Face reconstruction

Facelift (non-surgical)

Periorbital (non-surgical)

Dr Pitawan RACHATA

Plastic Surgeon

Thailand

Other author(s) :

Correction of brow ptosis with upper blepharoplasty

Dr Seree IAMPHONGSAI

Plastic Surgeon

Thailand

Other author(s) :

Frontalis advancement

Dr Hisaaki MUNAKATA

Cosmetic Surgeon

Japan

Other author(s) : Akiko Suzuki

UMEDA study: upper eyelid burial surgery for middle-aged and elderly patients with dermatochalasis

Objectives: In this study, we retrospectively analyzed the outcomes of double eyelid buried surgery in middle-aged and elderly patients at a single facility.

Introduction: Middle-aged and elderly individuals undergoing double eyelid surgery often have dermatochalasis. While excision of excess skin is the definitive treatment for dermatochalasis, double eyelid buried surgery is also an important option when considering lifestyle factors.

Materials / method: The subjects were 289 women aged 45 and older who underwent surgery between March 2023 and June 2024. We defined any reoperation of the double eyelid buried surgery or removal of the buried sutures for any reason as an event and examined the cumulative incidence rate over an average observation period of 9.5 months.

Results: Events occurred in 45 cases (15.6%) during the observation period. The cumulative incidence rate was 10.1% at 3 months and 17.2% at 12 months. No differences in event rates were observed based on age or the surgeon.

Conclusion: Double eyelid buried surgery is a significant option for treating dermatochalasis in middle-aged and elderly patients.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Dr Haitao XIAO

Plastic Surgeon

China

Other author(s) :

A new strategy to improve the outcome of transconjunctival lower blepharoplasty: the F.I.R.S.T. technique

Objectives: We propose a new technique to prevent residual fat by complete release of the septal fat and precise shape (integration) of the fat pedicles. Based on this technique, we found that it can release more septal fat for tear trough and mid-face augmentation, enhancing the filling effect.

Introduction: After the introduction of septal fat release and reposition in transconjunctival lower blepharoplasty (TCLB), few studies have addressed the thorough release of orbital fat tissue to adequately augment the tear trough and midface concavity. Additionally, limited literature exists regarding residual or recurrent eye bags and corresponding preventive measures after fat release and repositioning in transconjunctival lower blepharoplasty (TCLB).

Materials / method: From December of 2021 to May of 2023, 105 patients were treated with the full integration and repositioning of septal fat tissue (F.I.R.S.T.) technique in TCLB. This study observed the effectiveness of correcting tear trough deformity (TTD) and mid-cheek depression using the technique, and postoperative complications were also recorded.

Results: This mean age was 34 years with a mean follow-up of 13 months. The average operation duration was 55 ± 7.1 minutes . Among the cases, 70 eyes (33.33%) had Grade I TTD, 92 eyes (43.8%) had Grade II TTD, and 48 eyes (22.9%) had Grade III TTD. Successful correction was achieved in all Grade I cases, with 75 eyes (81.52%) improving to Grade 0 among Grade II cases. For Grade III cases, 28 eyes (58.33%) improved to Grade 0. No severe hematoma, diplopia, scleral show, ectropion, upper and lower eyelid concavity, enophthalmos, ocular motility disturbance or uneven midface was observed in any patients.

Conclusion: The F.I.R.S.T. technique effectively prevents fat residual in the lower eyelid area and provides favorable postoperative filling effects in the tear trough and mid-cheek region.

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): This study was partly funded by the Science and Technology Support Program of Sichuan Province

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: This study was partly funded by the Science and Technology Support Program of Sichuan Province

Dr Hudson Alex LAZARO

Plastic Surgeon

Brazil

Other author(s) :