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Pedicled fat flap to increase lateral fullness in upper blepharoplasty
Sadri O Sozer1, Francisco J Agullo, Humberto Palladino
1El Paso Cosmetic Plastic Surgery Center, El Paso, TX 79912, USA. doctor@elpasoplasticsurgery.com
Aesthetic Surgery Journal
|May 6, 2010
Summary
This study shows that transferring a pedicled fat flap from the central to the lateral upper eyelid effectively restores youthful fullness. This technique provides stable, long-lasting results with no complications.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Aesthetic Medicine
Background:
- Aging leads to decreased lateral upper eyelid fullness.
- Previous volume restoration methods like fat grafting had concerns regarding graft take and irregularities.
- Pedicled fat draping was explored to address these limitations.
Purpose of the Study:
- To evaluate the effectiveness of pedicled fat draping for upper eyelid lateral fullness restoration.
- To assess the predictability and longevity of the technique.
- To address concerns associated with traditional fat grafting.
Main Methods:
- A retrospective study involving 31 female patients (ages 43-68).
- Upper blepharoplasty with augmentation using a pedicled fat flap from the central fat pad.
- Fat transposition to the lateral upper eyelid below the orbicularis muscle.
Main Results:
- All patients achieved increased lateral upper eyelid fullness and a more youthful appearance.
- No instances of fat necrosis were observed.
- Volume augmentation remained stable at an average one-year follow-up with no recorded complications.
Conclusions:
- Pedicled fat pad transposition is an effective method for predictable upper lateral eyelid fullness.
- This technique offers a long-lasting, youthful appearance.
- It overcomes limitations of conventional fat grafting methods.
