ORIGINAL RESEARCH article
Front. Med.
Sec. Ophthalmology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1672397
This article is part of the Research TopicReconstructive and Aesthetic Surgery of the Face: New Frontiers in Research and Clinical ApplicationsView all 8 articles
Minimally Invasive Buried Guidance Combined with Stable Orbital Septal Fat Fixation for Correction of Tear Trough-Associated Lower Eyelid Bags: Application and Outcomes
Provisionally accepted
- 1Affiliated Hospital of Yangzhou University, Yangzhou, China
- 2Yangzhou University Medical College, Yangzhou, China
- 3Tianjin Medical University Eye Hospital, Tianjin, China
- 4Universitat Munster, Münster, Germany
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Background: Traditional transconjunctival lower blepharoplasty procedures that remove only the orbital septal fat often fail to effectively correct tear trough deformities, and may even exacerbate lower eyelid hollowness. Thus, developing a comprehensive surgical technique that can simultaneously correct both eye bags and tear troughs holds great clinical significance. Objective: This study aimed to evaluate a modified transconjunctival lower blepharoplasty technique that incorporates orbital fat repositioning and minimally invasive buried-guiding fixation to simultaneously correct eye bags and tear trough deformities. The goal was to restore a youthful contour of the lower eyelid and assess the clinical efficacy and safety of this approach. Methods: This study was designed as a prospective, single-center cohort study . A total of 30 patients (3 males, 27 females; mean age: 28 years) with lower eyelid bags and tear trough deformities were enrolled in this study. These patients were treated at the Department of Plastic Surgery, Affiliated Hospital of Yangzhou University, between January 2022 and December 2024. All patients underwent transconjunctival lower blepharoplasty combined with a buried-guiding fixation technique to perform strong orbital fat anchoring and correct both deformities. Results:All 30 procedures were successfully completed with primary healing achieved. The average follow-up period was 6.2 months (ranging from 3 to 12 months). Postoperative outcomes showed significant improvement in both lower eyelid bags and tear troughs, with a more youthful midface appearance and no external scarring. Patient satisfaction was high.
Keywords: lower eyelid bags, Tear trough deformity, Lower blepharoplasty, Buried-guiding technique, Orbital septal fat repositioning
Received: 24 Jul 2025; Accepted: 23 Sep 2025.
Copyright: © 2025 Zhang, Min, Xia, Gao, Song and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qiang Zhang, ydzhangq@126.com
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