%0 Journal Article
%T Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach
%A Alberto Rancati
%A Patricio Jacovella
%A Andrea Edoardo Zampieri
%A Julio Dorr
%A Mariana Daniele
%A Santiago Liedtke
%A Agustin Rancati
%J Modern Plastic Surgery
%P 1-8
%@ 2164-5280
%D 2015
%I Scientific Research Publishing
%R 10.4236/mps.2015.51001
%X Currently in
lower blepharoplasty, the transconjunctival approach indication has been
limited to young patients without skin excess and prominence of bags; in our
practice this access has become the preferred technique in most of our cases
because it is simpler, faster, prevents bad scarring, produces less orbicularis
muscle trauma, and decreases postoperative edema and possible retractions
(ectropion) in patients with decreased lower palpebral tone. Objective: To
identify important concepts when deciding this approach. Material and Methods:
Retrospective review of 177 patients who underwent lower blepharoplasty by a s</span><span style=\"font-family:Verdana;\">ingle surgical group. </span></span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">Reg</span><span style=\"font-family:Verdana;\">arding
techniques, the</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">transconjunctival</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">appr</span><span style=\"font-family:Verdana;\">oach was</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">selected</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">in</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">42%</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">of patients</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">while</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">the</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">transcutaneous technique</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:Verdana;\">was preferred in 58%</span><span style=\"font-family:Verdana;\">. Results: A lower rate of complications was
observed by the transconjunctival approach, with greater patient satisfaction.
Conclusions: In our experience, due to its simplicity and less traumatic effect
on the patient, the transconjunctival approach is an ideal technique, except in
cases where there is lower eyelid weakness and surgical resolution is needed.
%K Transconjunctival Approach
%K Transcutaneous Approach
%K Blepharoplasty
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52533