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

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

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

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

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

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

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

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

Objectives: Transconjunctival
Blepharoplasty
By CO2 Laser

Introduction: 1. Indications
2. Anatomy of eyelids
3. Case demonstrations
4. Side effects and Complications
5. Combined treatments

Materials / method: 1. Skin excess
2. Tarsus laxity
3. Muscle laxity
4. Orbital septum laxity
5. Real tear trough deformity
6. Eye bags
7. Cheek ptosis
8. Malar mould
9. Volume loss
10. Poor bone structure

Results: The eye bag was removed effectively

Conclusion: Transconjunctival
Blepharoplasty
By CO2 Laser Is effective for removing eyebag

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