Fat preservation better for lower eyelid blepharoplasty

July 14, 2014
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.

Explore further: Fat grafting techniques for breast reconstruction are commonly used by US plastic surgeons

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

Related Stories

Fat grafting techniques for breast reconstruction are commonly used by US plastic surgeons

July 1, 2013
Seventy percent of U.S. plastic surgeons have used fat grafting techniques for breast operations, but they are more likely to use it for breast reconstruction rather than cosmetic breast surgery, reports a survey study in ...

New classification of fat grafting techniques proposed

September 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 situation, according ...

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.