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Transconjunctival Lower Blepharoplasty Repairing by Fascia Fixation Transconjunctival Lower Blepharoplasty Repairing by Fascia Fixation
新一代全方位眼袋移位手術 新一代全方位眼袋移位手術

Formation  of Eye Bags


With advancing age, orbicularis oculi muscle and eye skin gradually lose elasticity, coupled with the weakening orbital fascia no longer able to well enclose the fat behinds it. As a result, the orbit fat bulges and pushes through the less reinforced septum, leading to the formation of eye bags. In addition to the impact of aging and gravity, staying up late at night and puffy face will make the eye bags look more prominent.


Lower Eyelid Anatomy

The conjunctiva lines the inside of eyelids. Underneath the conjunctiva lies the orbital fat enclosed by the orbital fascia (orbital septum). Exterior to the orbital fascia are orbicularis oculi muscles and skin. The tear trough ligaments originated from the orbital rim run through the orbicularis oculi muscles and skin and attach them to the orbital rim. The skin above the orbital rim is very thin and has no subcutaneous fat. The orbital fat is held in place by the orbital fascia right under the eyes. Eye bags are mostly formed due to aging when the loosing orbital fascia (orbital septum) no longer able to hold the fat in place so the fat bulges forward. It has nothing to do with fat overgrowth. There are two ligaments (namely tear trough ligaments) lying along the tear trough groove and attaching the under-eye skin to the orbital rim. With the process of aging, the orbit undergoes continuous remodeling with resorption of the bone along orbit rim. As a result, the tear trough ligaments that attach the skin tightly to the orbital rim will pull the skin inward, resulting in deeper tear troughs.

 

Cross-section anatomy of lower eyelid


 

 


Aegyo-sal

Aegyo-sal comes from a roll of muscle just under the eyelashes, which becomes more prominent when smiling. Aegyo-sal is considered as a symbol of beauty and charm for men and women. Famous Taiwanese model Lin Chi-ling is the representative figure of beautiful celebrities with aegyo-sal.

Eye Bag

Eye bags refer to bulging of fat below the eyes. They are mostly caused by aging when loosing orbital fascia no longer holds swell the orbital fat and the fat behind it bulges outward and presses on the skin. Some people have eye bags at younger age due to genetics or contact lens overuse.

Tear Trough

Tear trough ligaments attach the skin to the orbital rim, forming a gentle tear trough groove. When heavy bags and sagging under the eyes couples with the deflated cheeks appear due to aging, the tear trough becomes deeper and moves downward which makes the orbital rims look bigger and more prominent, giving a hollow eye look.

 

眼袋的說明及手術的方式

隨年齡眼袋脂肪的突出,也併隨了中臉老化的問題。一般而言,眼袋移位手術可以解決大多數的問題,但是如果碰到下眼皮也併隨著皮層肌肉鬆弛及中臉凹陷下垂的問題,也要一併處理,因此,不是眼袋移位可以單獨解決的。
簡單的說,眼袋的處理方式可以分述如下
1.單純的眼袋脂肪切除或眼袋脂肪歸位
2.內切式眼袋移位手術又稱經眼瞼黏膜內眼袋脂肪移位
3.外切式眼袋移位手術又稱經下眼瞼睫毛下眼袋脂肪移位加上下垂皮膚肌肉切除
4.眼袋移位加自體脂肪移植
5.中臉拉皮
 
 

Orbital rim contouring/enhanced all-in-one lower blepharoplasty


 

lower  eyelid fat repositioning + fascia  repairing + tear  trough filling
  

Three eyelid cosmetic issues get solved in  one surgery

 

Common lower eyelid cosmetic issues include hypertrophy or drooping of orbicularis oculi muscles, loosing eyelid, ectropion, bulging eye fat and tear trough. These are generally called eye bag. In Charm United Institute we perform enhanced all-in-one eye bag surgery "transconjunctival lower blepharoplasty repairing by fascia fixation" which at once solves all issues, such as eye bag, tear trough, prominent orbital rim and black eye circle. The features of this unique surgical procedure are

 

        
  1. transconjunctival incision leaves no visible scarring or surgical trace
         
  2.     
  3. Eliminating eye bags while keeping aegyo-sal
         
  4.     
  5. Filling tear trough and smoothening eyelid-cheek junction
         
  6.     
  7. Improving black eye circle
         
  8.     
  9. Eye rejuvenation by minimizing orbital rim/ Improving black eye circle by repositioning the eye fat downward to cheek and the tear trough ligament upward. Smooth and delicate orbital rim at eyelid-cheek junction is an important symbol of youth.

 

Dr. Yi-Sheng Kao Director | Plastic Surgery Aesthetic Clinic

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