Clinical Study: PDF OnlyEffectiveness and Satisfaction Degree of Transconjunctival-Approach Lower Blepharoplasty Combined With Pinch Skin Excision TechniqueChoi, Boyoon MD; Yang, Sungwon MD; Park, Jinhwan MD, PhD; Lee, Hwa MD, PhD; Baek, Sehyun MD, PhDAuthor Information Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. Address correspondence and reprint requests to Sehyun Baek, Department of Ophthalmology, Guro Hospital, Korea University College of Medicine, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea; E-mail: email@example.com Received 13 February, 2019 Accepted 14 September, 2019 The authors have no conflicts of interest to report. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.jcraniofacialsurgery.com). Journal of Craniofacial Surgery: February 5, 2020 - Volume Publish Ahead of Print - Issue - doi: 10.1097/SCS.0000000000006102 Buy SDC PAP Metrics Abstract The purpose of this study was to evaluate and compare the effectiveness and satisfaction of transconjunctival-approach lower blepharoplasty combined with a pinch skin excision technique between young patients (younger than 60 years of age) and elderly patients (older than 60 years of age) in Korea. The medical records of 69 patients who underwent transconjunctival-approach lower blepharoplasty combined with a pinch skin excision technique from January 2003 to February 2018 were reviewed. Success rate postoperative complications, and degree of satisfaction with the surgical technique were evaluated and statistically compared between the 2 different age groups. All 69 patients were satisfied with the final result. The average success rate of surgery was 96.7% in the young patients (group A) and 97.4% in the elderly patients (group B) during the mean follow-up period of 6 months. There were 3 cases reported as having persistent complications (2 cases in group A and 1 patient in group B). The satisfaction rating between groups A and B showed no statistically significant difference (P = 0.430). We confirmed lower-eyelid fat prolapse and dermatochalasis can be effectively corrected using transconjunctival lower blepharoplasty with a pinch skin excision technique in patients regardless of age. © 2020 by Mutaz B. Habal, MD.