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Lower blepharoplasty: transconjunctival fat repositioning.
1Department of Otolaryngology, University of Southern California School of Medicine, Los Angeles, CA, USA. drnassif@spaldingplasticsurgery.com
Facial Plastic Surgery Clinics of North America
|October 29, 2005
Summary
Lower eyelid fat repositioning prevents a hollow appearance after herniated fat removal. This technique addresses tear-trough deformities and improves aesthetic outcomes in lower eyelid surgery.
Area of Science:
- Plastic Surgery
- Oculoplastic Surgery
- Facial Anatomy
Background:
- Traditional lower eyelid surgery involves fat removal, potentially causing a hollow or sunken appearance.
- Tear-trough deformities (nasojugal grooves) can be exacerbated by fat removal, leading to undesirable aesthetic results.
Purpose of the Study:
- To describe a technique for lower eyelid transconjunctival fat repositioning.
- To evaluate the potential of this technique to prevent surgical hollowness and treat herniated fat.
Main Methods:
- Subperiosteal repositioning of medial and central lower eyelid herniated orbital fat into the nasojugal fold via a transconjunctival approach.
- Potential combination with endoscopic subperiosteal midface-lift, transcutaneous skin pinch, and transconjunctival orbicularis oculi excision.
Main Results:
- The described fat repositioning technique aims to prevent the hollow lower eyelid appearance associated with traditional fat removal.
- This method addresses herniated orbital fat while simultaneously treating the tear-trough deformity.
Conclusions:
- Lower eyelid transconjunctival fat repositioning is a valuable technique for facial plastic surgeons.
- This approach offers an effective solution for managing herniated orbital fat and improving lower eyelid aesthetics, particularly in patients with tear-trough deformities.