Fat preservation better for lower eyelid blepharoplasty

Fat preservation better for lower eyelid blepharoplasty

(HealthDay)—Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty, according to a surgical pearls piece published online June 26 in JAMA Facial Plastic Surgery.

David J. Archibald, M.D., from the Center for Plastic Surgery at Castle Rock in Colorado, and Edward H. Farrior, M.D., from the Farrior Facial Plastic & Cosmetic Surgery Center in Tampa, Fla., advise surgeons on patient selection and surgical technique when using fat repositioning in lower eyelid blepharoplasty.

The authors define fat repositioning as the repositioning of the lower eyelid pseudoherniated orbital fat inferiorly over the orbital rim, repositioning the suborbicularis oculi fat (SOOF) superiorly over the orbital rim, or a combination of both techniques. They note that fat excision is now recognized as failing to address the tear trough deformity and leads to increased skeletonization of the orbital rim and a hollowed-out appearance of the lower eyelid-cheek complex. By comparison, preservation and repositioning of the SOOF and/or orbital fat restore this smooth convex transition to the malar eminence. However, fat-repositioning techniques have some disadvantages, including a steep learning curve, prolonged edema, and a visible scar if performed via a transcutaneous approach.

"We believe that this is a more physiologic approach to the sequela of the aging lower eyelid-cheek complex," the authors write.

More information: Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Why do eyelids sag with age? New study answers mystery

Aug 26, 2008

Many theories have sought to explain what causes the baggy lower eyelids that come with aging, but UCLA researchers have now found that fat expansion in the eye socket is the primary culprit. As a result, ...

New classification of fat grafting techniques proposed

Sep 10, 2012

(HealthDay)—As the use of fat grafting in plastic surgery continues to evolve, a new way of classifying fat grafting techniques has been proposed that aims to match the technique to the specific clinical ...

Recommended for you

Dubai cuts profile as Mideast plastic surgery hub

Oct 23, 2014

Dubai, the emirate known for its celebration of over-the-top glamour and luxury, is racing ahead to dominate the Middle East's plastic surgery market with plans to attract half a million medical tourists ...

User comments