目的：
　　當前下瞼成形術的概念是重新雕塑患者的眶周區域。顴區組織下垂、?溝畸形、脂肪膨出、眼瞼鬆弛、皮膚紋理改變以及色素沉著等與年齡相關的變化應根據患者進行鑒別。 我們提供有關下瞼成形術 3 維輪廓的個人臨床經驗。
方法和材料：
　　這些技術包括經結膜或經皮膚之方法配合單純皮膚和脂肪去除、眼輪匝肌懸吊術、脂肪轉位及脂肪移植、支持韌帶、筋膜韌帶鬆解、眶隔重置及加固、面中部提升和脂肪填充術以及臥蠶豐滿與注射輔助的技術應用等。由患者術前和術後的照片來評估結果和合併症。
結果：無球後出血、複視或增生性瘢痕等嚴重?發症。所有患者都對他們的結果感到滿意。 我們的臨床方法提供了自然和年輕的外觀。
結論：
　　下眼瞼成形術的目標是達成眼瞼-臉頰交界處的平滑外型，恢復年輕的輪廓，同時將風險降至最低，達到最有效、最安全以及風險性和併發症最小的目的。以?生更自然、更和諧的面部年輕化。以往多注重提升、緊致和切除，而現今更關注面部脂肪的選擇性處理，支持結構的調整，以及改善眶周輪廓的技術。有關於適應症的選擇、相對的替代治療、術前注意事項、手術技術選用與相關合併症的處理在下眼瞼成形術是很重要的。
PURPOSE:
The current concept of lower blepharoplasty is to recontour the patient’s periorbital area. The age-related changes of malar descent, tear trough deformity, bulging fat, lid laxity, and skin texture changes as well as dermatochalasis and festoons should be identified according to the patients. We provide the personal algorithm about 3-dimentional contouring in lower blepharoplasty.
METHODS AND MATERIALS:
All procedures were performed by a single surgeon (L.W.C). These techniques include release of retaining ligaments, fat transposition, orbicularis suspension, lateral canthal tightening, malar suspension, pretarsal fullness forming and midface volume augmentation via transconjunctival or transcutaneous and combined approaches. The outcomes and complications were assessed by evaluating the patients' preoperative and postoperative digital photographs and medical records.
RESULTS:
There were no major complications, such as retrobulbar hemorrhage, diplopia, or hypertrophic scarring. All patients were satisfied with their results. Our technique provided a natural and younger appearance via the algorithmic approach.
CONCLUSIONS:
The goal of our algorithmic approach for lower lid blepharoplasty is to smooth the lid–cheek junction, restore youthful contour and volume, at the same time minimize risk. Performing lower lid blepharoplasty effectively to yield a more natural and harmonious rejuvenation of the face, the awareness of the indications, alternative treatments, preoperative considerations, operative techniques, and management the associated complications are important.