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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Lower blepharoplasty: transconjunctival fat repositioning.

Paul S Nassif1

  • 1Department of Otolaryngology, University of Southern California School of Medicine, Los Angeles, CA, USA. drnassif@spaldingplasticsurgery.com

Otolaryngologic Clinics of North America
|March 27, 2007
PubMed
Summary

Lower eyelid fat repositioning prevents a hollow appearance after surgery. This technique addresses herniated fat and tear-trough deformities, offering a refined aesthetic outcome.

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Area of Science:

  • Plastic Surgery
  • Oculoplastic Surgery

Background:

  • Traditional lower eyelid surgery removes herniated fat, potentially causing a hollow or sunken appearance.
  • Tear-trough deformities (nasojugal grooves) can exacerbate this hollow look.

Purpose of the Study:

  • To describe a technique for lower eyelid fat repositioning to prevent a hollow appearance.
  • To address herniated orbital fat and tear-trough deformities simultaneously.

Main Methods:

  • Lower eyelid transconjunctival fat repositioning involves subperiosteal placement of herniated orbital fat into the nasojugal fold.
  • This technique can be combined with endoscopic subperiosteal midfacelift, transcutaneous skin pinch, and transconjunctival orbicularis oculi excision.

Main Results:

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  • Fat repositioning prevents the surgical hollow lower eyelid appearance.
  • The technique effectively treats herniated fat and tear-trough deformities.

    • Conclusions:

    • Lower eyelid transconjunctival fat repositioning is a valuable technique for facial plastic surgeons.
    • This method offers an alternative to fat removal, preserving volume and improving aesthetics.