Effects of orbital septum fat redistribution on multiple malformation of upper eyelid after blepharoplasty

Abstract

Objective The multiple malformation of upper eyelid, including the excessive width of fold line, sunken and/or multiple folded upper eyelid are the common complications after blepharoplasty. The aim of this study was to investigate the clinical effect of orbital septum fat redistribution on correcting these deformities. Methods From September 2015 to September 2017, 38 patients with multiple malformations of upper eyelid were treated. The incision of upper eyelid and the excessive skin was designed and resected. After completely relieving the scar adhesion zones, we set the lateral orbital septum fat free and transposed it to the inner side of orbital septum or superior border of tarsus with suturing fixation. Then we routinely completed the double eyelid operation. Results Thirty-eight patients with multiple malformations of upper eyelid were treated successfully. The patients were followed up for 6 months to one year, and the results were totally satisfactory. The operation was not performed again. Conclusions The orbital septum fat redistribution can successfully correct the multiple malformation of upper eyelid. It should become a regular procedure in blepharoplasty. Key words: Double eyelid reconstruction; Sunken upper eyelid; Excessive width of fold line; Multiple folded upper eyelids; Orbital septal fat replacement