Transconjunctival approach for blepharoplasty

Curing disease: Indication The transconjunctival approach is suitable for the treatment of excessive or bulging fat in the lower jaw, forming a capsular-like appearance, and no skin and orbital palpebral muscle relaxation. Contraindications 1. There are infectious diseases in the eyes and around the eyes. 2. Hypertension and bleeding disorders. 3. Menstrual period. Preoperative preparation 1. Specialist examination to check the distribution of fat in the septum. 2. Laboratory tests for blood routine, clotting time, etc. Surgical procedure 1. Conventional disinfection drape. 2. Local infiltration anesthesia. 3. Make a 5 to 10 mm long transverse incision 2 to 3 mm below the conjunctiva of the inferior temporal conjunctiva, and incise the conjunctiva. 4. Bluntly peeling the diaphragm, slightly oppressing the eyeball, the fat in the lower jaw immediately bulges, and the cut-off part of the fat of each group is removed, and the bleeding is completely stopped. 5. The incision determines whether to suture as appropriate. 6. Postoperative treatment (1) Apply eye ointment in the conjunctival sac. (2) The dressing was pressed for 1 h. (3) Eye drops with antibiotic eye drops daily. complication 1. Swelling, infection. 2. The fat is still prolapsed or depressed inside the jaw. 3. The two sides are obviously asymmetrical.