Comparative Evaluation of Medial Septal Fat Excision During Infrabrow Blepharoplasty for Medial Upper Eyelid…

Cohort studyJournal of clinical medicine· May 2026

Comparative Evaluation of Medial Septal Fat Excision During Infrabrow Blepharoplasty for Medial Upper Eyelid Fullness: A Retrospective Study.

Seok Beom Lim, Marine Jung, Jong Hyup Kim … Wan Cheol Ryu

OculoplasticsCohort studyTreatmentQ2IF 3.5

Medial septal fat excision linked to greater improvement in eyelid fullness scores

Comparative Evaluation of Medial Septal Fat Excision During Infrabrow Blepharoplasty for Medial Upper Eyelid Fullness: A Retrospective Study.

Seok Beom Lim … Wan Cheol Ryu

Journal of clinical medicine · May 2026 · Q2 in General Medicine

Background

Medial upper eyelid fullness resulting from septal fat prolapse during infrabrow blepharoplasty has not been consistently addressed.

Purpose

This study aimed to evaluate the efficacy and safety of medial septal fat excision during infrabrow blepharoplasty.

Methods

This retrospective comparative cohort study included 488 patients who underwent infrabrow blepharoplasty with at least 6 months of follow-up.

n = 488 patients

Results

-0.395

excision group's post-op eyelid fullness score was lower - greater improvement

n = 488 patients

More results

The excision group demonstrated significantly greater improvement in medial fullness.

Subgroup analysis confirmed superior improvement in the excision subgroup.

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Conclusion

Medial septal fat excision during infrabrow blepharoplasty significantly enhances medial upper eyelid contour without increasing complication rates. This approach is a safe and effective adjunct for addressing medial fat bulging.

Comparative Evaluation of Medial Septal Fat Excision During Infrabrow Blepharoplasty for Medial Upper Eyelid Fullness: A Retrospective Study.

Comparative Evaluation of Medial Septal Fat Excision During Infrabrow Blepharoplasty for Medial Upper Eyelid Fullness: A Retrospective Study.

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