A Review of Postoperative Recovery and Long-Term Management of Lower Eyelid Bags Combined with Tear Trough Deformity Correction through Orbital Septal Fat Release in Middle-Aged and Elderly Patients

Abstract

Lower eyelid bags combined with tear troughs are common facial aging manifestations in middle-aged and elderly populations. They not only affect aesthetic appearance but may also cause visual fatigue, psychological stress, and other issues. Orbital septum fat release surgery has become the preferred clinical procedure due to its advantages of fat repositioning, balancing correction effect and tissue compatibility. However, middle-aged and elderly patients are characterized by decreased physiological function and frequent comorbidities, making their postoperative recovery rules and long-term management needs significantly different from younger populations. Currently, there is still a lack of unified consensus on systematic postoperative management strategies for this group. This article systematically summarizes the phased recovery characteristics of middle-aged and elderly patients after orbital septum fat release surgery, including acute phase swelling and pain control, recovery phase scar and functional repair, and stable phase effect optimization. It also integrates the core points of long-term management, such as the construction of individualized follow-up systems, prevention and treatment of long-term complications (e.g., recurrent eyelid laxity, dry eye), and collaborative intervention of systemic health and lifestyle. The research conclusion indicates that phased precise postoperative care and long-term individualized management are the keys to ensuring surgical outcomes and reducing the incidence of complications. In the future, large-sample long-term follow-up studies and the construction of precise intervention models are needed to further improve the entire diagnosis and treatment process for middle-aged and elderly patients, providing a more solid evidence-based basis for clinical practice.