Cosmetic Lower Eyelid Blepharoplasty With Fat Repositioning via Intra-SOOF Dissection: Surgical Technique and Initial Outcomes

Mohadjer, Yasaman; Holds, John B.

doi:10.1097/01.iop.0000243607.36661.be

Cited by 55 publications

(37 citation statements)

References 14 publications

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“…With the lid stretched out, gentle pressure should be applied on the globe revealing any residual fat bulges. If necessary, further fat may be excised (Figure 7 and Figure 8) [6]- [10]. An advantage of using the transconjunctival approach is that stitches are not required.…”

Section: Lipectomy Controlmentioning

confidence: 99%

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Rancati¹,

Jacovella²,

Zampieri³

et al. 2015

MPS

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Currently in lower blepharoplasty, the transconjunctival approach indication has been limited to young patients without skin excess and prominence of bags; in our practice this access has become the preferred technique in most of our cases because it is simpler, faster, prevents bad scarring, produces less orbicularis muscle trauma, and decreases postoperative edema and possible retractions (ectropion) in patients with decreased lower palpebral tone. Objective: To identify important concepts when deciding this approach. Material and Methods: Retrospective review of 177 patients who underwent lower blepharoplasty by a single surgical group. Regarding techniques, the transconjunctival approach was selected in 42% of patients while the transcutaneous technique was preferred in 58%. Results: A lower rate of complications was observed by the transconjunctival approach, with greater patient satisfaction. Conclusions: In our experience, due to its simplicity and less traumatic effect on the patient, the transconjunctival approach is an ideal technique, except in cases where there is lower eyelid weakness and surgical resolution is needed.

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Section: Lipectomy Controlmentioning

confidence: 99%

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Rancati¹,

Jacovella²,

Zampieri³

et al. 2015

MPS

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“…[1][2][3][4] Analogous to addressing brow ptosis when considering upper eyelid blepharoplasty, patients who present with requests for lower eyelid rejuvenation most often have accompanying midface descent.A tear trough deformity usually results from the descent of the suborbicularis oculi fat (SOOF) and malar fat pad, which produces skeletonization of the inferior orbital rim. An additional irregularity, the double convexity deformity, may occur as a result of lower eyelid pseudoherniated orbital-fat convexity above the inferior orbital rim and tear trough followed by the descended SOOF and malar mound convexity.…”

mentioning

confidence: 99%

Fat Repositioning in Lower Eyelid Blepharoplasty

Archibald

Farrior²

2014

JAMA Facial Plast Surg

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“…To achieve a more perfect improvement of the aged lower lid, combining TSILB with other volume restoration surgeries, such as fat reposition, fat grafting, and filler injection, has been popularly performed [4][5][6]. Among these, fat grafting is considered ideal and reliable because it maintains the original anatomical structures and uses autologous tissue.…”

Section: Introductionmentioning

confidence: 99%

Complementary effect of fat grafting on traditional subciliary incisional lower blepharoplasty: estimated by the change of lid-cheek junction

Kang¹,

Chai

2018

J Cosmet Med

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Background: Traditional subciliary incision lower blepharoplasty (TSILB) is commonly used for improving aged lower eyelid. Fat grafting has been popularly performed to correct shortcomings of TSILB such as infraorbital hollowness and incomplete blending of lid-cheek junction (LCJ). LCJ has been known as an objective index to measure the aging of lower eyelid. However, there was no study on the changes of LCJ length and shape with complementary fat grafting.Objective: This study aimed to evaluate the effect of complementary fat grafting by observing the changes in length and shape of the LCJ. Methods:Between 2010 and 2016, the authors observed the change of LCJ in 33 patients who were followed-up for more than 3 months among patients who underwent TSILB alone (Group 1, G1) or TSILB combined with fat grafting (Group 2, G2). The fat graft was performed by sequential autologous fat injection method, having the concept of volumetric face lifting. The groups were further divided into subgroups G1p, G1n, G2p, and G2n according to positive (p) or negative (n) globe-to-skeletal rim relations. Suborbicularis oculi fat lifting and lateral retinacular canthopexy were mainly performed in patients who had negative vector. Results:The length of LCJ in G2 decreased significantly compared to that of G1. There was no significant difference between G1p and G1n, and G2p and G2n. The shape of LCJ changed diversely from V-shape to flat shape and was more dramatic in G2 than in G1. In G1, superolateral shifting in lateral points of LCJ was a typical change, but in G2, superolateral shifting and vertical shifting of LCJ were more prominently occurred at medial and middle points of LCJ, which were mainly induced by fat grafting. Conclusion:Complementary fat grafting showed better rejuvenation effect through further changes of LCJ in length (shortening) and shape (flattening) than that of TSILB alone. Level of Evidence: IV

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Cosmetic Lower Eyelid Blepharoplasty With Fat Repositioning via Intra-SOOF Dissection: Surgical Technique and Initial Outcomes

Cited by 55 publications

References 14 publications

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Lower Blepharoplasty Review, Transcon-junctival vs. Transcutaneous Approach

Fat Repositioning in Lower Eyelid Blepharoplasty

Complementary effect of fat grafting on traditional subciliary incisional lower blepharoplasty: estimated by the change of lid-cheek junction

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