Analysis of Eyelid Fat Pad Changes With Aging

Oh, Sang-Rog; Chokthaweesak, Weerawan; Annunziata, Christine C.; Priel, Ayelet; Korn, Bobby S.; Kikkawa, Don O.

doi:10.1097/iop.0b013e3182141c37

Cited by 52 publications

(26 citation statements)

References 17 publications

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“…14,51,52 Fat pads that are herniated anterior to the orbital rim should be addressed surgically. Significant orbital fat herniation will require debulking and/or repositioning, depending on the amount of orbital fat present and the extent of volume loss along the infraorbital rim.…”

Section: Presence and Extent Of Herniated Orbital Fat Padsmentioning

confidence: 99%

Simplifying Blepharoplasty

Zoumalan

Roostaeian

2016

Plastic and Reconstructive Surgery

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Blepharoplasty remains one of the most common aesthetic procedures performed today. Its popularity stems partly from the ability to consistently make significant improvements in facial aesthetics with a relatively short operation that carries an acceptable risk profile. In this article, the authors attempt to simplify the approach to both upper and lower lid blepharoplasty and provide an algorithm based on the individual findings for any given patient. The recent trend with both upper and lower lid blepharoplasty has been toward greater volume preservation and at times volume augmentation. A simplified approach to upper lid blepharoplasty focuses on removal of excess skin and judicious removal of periorbital fat. Avoidance of a hollow upper sulcus has been emphasized and the addition of volume with either fat grafting or fillers can be considered. Lower lid blepharoplasty can use a transcutaneous or a transconjunctival approach to address herniated fat pads while blending the lid-cheek junction through release of the orbitomalar ligament and volume augmentation with fat (by repositioning and/or grafting) or injectable fillers. Complications with upper lid blepharoplasty are typically minimal, particularly with conservative skin removal and volume preservation techniques. Lower lid blepharoplasty, conversely, can lead to more serious complications, including lid malposition, and therefore should be approached with great caution. Nevertheless, through an algorithmic approach that meets the needs of each individual patient, the approach to blepharoplasty may be simplified with consistent and predictable results.

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Section: Presence and Extent Of Herniated Orbital Fat Padsmentioning

confidence: 99%

Simplifying Blepharoplasty

Zoumalan

Roostaeian

2016

Plastic and Reconstructive Surgery

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“…Lipoatrophy and volume loss are now recognized as significant components of upper lid and brow aging [1][2][3][4] Traditional upper lid blepharoplasty techniques that focus on soft tissue excision of skin and fat do not treat volume loss. 5 Therefore, recent technical advances aim to provide volume restoration for upper periorbital rejuvenation in select patients.…”

Section: Introductionmentioning

confidence: 99%

Adjunctive Fat Grafting to the Upper Lid and Brow

Collar¹,

Boahene²,

Byrne³

2013

Clinics in Plastic Surgery

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“…The central fat pad, namely the preaponeurotic fat pad, shifts posterosuperiorly, which may give an aged appearance in the central superior sulcus (Fig. 1) [2]. In the lower eyelid, protrusion of nasal, central, and temporal fat pads occur.…”

Section: Topographic Changementioning

confidence: 99%

“…1) [2]. The central fat pad, namely the preaponeurotic fat pad, shifts posterosuperiorly, which may give an aged appearance in the central superior sulcus (Fig.…”

Section: Topographic Changementioning

confidence: 99%

Age-related eyelid changes

et al. 2017

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Aging is a natural process where changes occur in multiple tissues, resulting in aesthetic and functional effects. Aging eyelids lead to a tired or sleepy appearance. Progressive changes continue throughout life; these may eventually affect the ocular surface and cause visual impairment. Objective is to report the pathophysiology of the common age-related eyelid disorders and the current management concepts. This article presents the pathophysiology and the surgical procedures of eyelid disorders, such as blepharoptosis, dermatochalasis, entropion, ectropion, baggy eyelids, epicanthus, and lateral canthal aging. In general, most agerelated eyelid changes are corrected due to its to its associated cosmetic and functional problems. Management is based on anatomic factors contributing to the eyelid disorder. Conclusion is the choice of surgical procedure is based on the exact localisation of the eyelid pathology.

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Analysis of Eyelid Fat Pad Changes With Aging

Cited by 52 publications

References 17 publications

Simplifying Blepharoplasty

Simplifying Blepharoplasty

Adjunctive Fat Grafting to the Upper Lid and Brow

Age-related eyelid changes

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