Internal Fixation Method Using EZ-Tcon for Transconjunctival Fat Repositioning: Clinical Outcomes and Efficacy

Aesthetic Plastic Surgery
Cheol Ho ChangKyeong-Tae Lee

Abstract

Transconjunctival fat repositioning is the gold standard for the correction of tear trough deformity. For fixation of fat pedicle, the internal fixation (IF) and externalized percutaneous suture (EPS) techniques are used, which have their own advantages and disadvantages. The present study aimed to introduce a new IF technique using a devised needle (EZ-Tcon) and to compare its outcomes with those of the conventional EPS technique. Patients with primary tear trough deformity who underwent transconjunctival fat repositioning were reviewed and categorized into two cohorts according to the fixation technique: cohort 1 consisted of patients treated using the conventional EPS technique and cohort 2 consisted of those in whom the new IF technique using EZ-Tcon was adopted. Post-operative complications and aesthetic outcomes were assessed using a four-scale grading system. A total of 545 patients, 211 from cohort 1 and 344 from cohort 2 were evaluated with a median follow-up of 70 days. Compared to cohort 1, cohort 2 showed significantly lower rates of long-standing conspicuous scars on lower eyelid, re-operation and overall complications. In the analysis of aesthetic outcomes, 88.9 percent of cohort 2 showed grade 0 (no deformity) or...Continue Reading

References

Jul 16, 2004·Plastic and Reconstructive Surgery·Fritz E BartonMariam Awada
Dec 17, 2008·Aesthetic Surgery Journal·Akira MomosawaKiyonori Harii
Apr 2, 2009·Plastic and Reconstructive Surgery·Nicholas T HaddockCharles H Thorne
Apr 24, 2012·Aesthetic Surgery Journal·Ross L Stutman, Mark A Codner
Dec 23, 2016·Aesthetic Plastic Surgery·Chiao-Yun ChiuJing-Hong Xu
Mar 4, 2017·Seminars in Plastic Surgery·Michael MurriDouglas P Marx
Oct 25, 2017·Plastic and Reconstructive Surgery. Global Open·Cheol Ho Chang, Myung Kyu Cha

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Methods Mentioned

BETA
dissection

Software Mentioned

EZ
Tcon
SPSS

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