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New research · Ophthalmology
Journal of clinical medicine · 11h
Cohort studyJournal of clinical medicine · 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
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OphthalmologyCohort study

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 · 2026
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.

“
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.

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