下睑成形术外侧上方入路：经皮肤与经隔前入路

目标: To present an upper lateral access technique for lower eyelid blepharoplasty that enables safe and effective management of lower lid fat pads while preserving lower eyelid support. 介绍: Conventional lower blepharoplasty is performed through either a transcutaneous or transconjunctival approach. This novel technique applies an upper eyelid access with a transcutaneous and transpreseptal approach, allowing treatment of the lower eyelid through the upper lid incision. Based on the surgical principles and philosophies developed by Glenn W. Jelks, the technique minimizes lower eyelid disruption while maintaining functional support and facilitating simultaneous canthal stabilization when indicated. 材料 / 方法: A consecutive clinical series underwent lower lid fat management using upper lateral access. The procedure included: * Upper lateral eyelid transcutaneous incision. * Transpreseptal Transcutaneous dissection. * Direct exposure and treatment of lower eyelid fat compartments. * Fat preservation or repositioning according to individual anatomy. * Canthal support mandatory 结果: The technique provided excellent visualization of the lower eyelid fat pads while avoiding a lower lid incision. Patients demonstrated stable eyelid position, rapid recovery, preservation of lower lid support, and natural periocular contours. The approach proved particularly useful in selected patients requiring combined upper and lower eyelid rejuvenation with reduced surgical morbidity. 总结: * Anatomical rationale for upper lateral access. * Transcutaneous–transpreseptal surgical pathway. * Safe management of lower eyelid fat compartments. * Preservation of lower eyelid support. * Indications, limitations, and long-term clinical outcomes.