The Efficacy of Lower Blepharoplasty With Subobicularis Oculi Fat Lift and Fat Pad Transposition in Middle-Aged Patients.

[PURPOSE] To assess the clinical outcomes and patient satisfaction 6 months after undergoing lower eyelid surgery using the suborbicularis oculi fat (SOOF) lift combined with fat pad transposition in patients aged 40 to 65 in Vietnam.

[MATERIALS AND METHODS] This longitudinal interventional study was conducted on 27 patients who underwent SOOF lift combined with fat pad transposition at Vietnam National Eye Hospital, between October 2023 and March 2025. All cases were evaluated based on various factors, including age, gender, Goldberg scale, eye bag height (AB), the orbital rim angle, and Face-Q score before surgery and at 1 week, 1, 3, and 6 months postoperatively.

[RESULTS] The study included 27 patients with a mean age of 57.41 years, with 8 males and 19 females. Half of the patients also underwent upper eyelid surgery or brow lift in conjunction with the lower eyelid procedure. At the follow-up visits, all indicators of lower eyelid aging showed significant improvement, with results stabilizing between the 3-month and 6-month assessments. No major complications were reported. All patients expressed satisfaction with the surgical outcomes and estimated an average of 7 years younger than their actual age.

[CONCLUSION] The combination of SOOF lift and fat pad transposition in lower blepharoplasty offers a safe, effective, and long-lasting solution for addressing age-related changes in the lower eyelid region, leading to significant improvements in both aesthetic outcomes and patient satisfaction.