Analysis of eyelid fat pad changes with aging.
Sang-Rog Oh1, Weerawan Chokthaweesak, Christine C Annunziata
1UCSD Department of Ophthalmology, Shiley Eye Center, La Jolla, CA, USA.
Ophthalmic Plastic and Reconstructive Surgery
|April 15, 2011
Summary
Aging causes upper eyelid fat pads to change differently. The nasal fat pad grows prominent, while the central fat pad shrinks, especially in those over 70.
Area of Science:
- Oculoplastics
- Aging research
- Facial anatomy
Background:
- Upper eyelid aging changes are understudied.
- Fat pad alterations contribute to eyelid appearance and function.
Purpose of the Study:
- Evaluate differential aging changes in upper eyelid nasal and central fat pads.
- Correlate age with fat pad volume changes.
Main Methods:
- Retrospective review of 77 patients' records and photographs.
- Categorization by decade of life.
- Standardized grading (0-3) of nasal and central fat pad volume.
Main Results:
- Central fat pad volume diminishes with age.
- Nasal fat pad volume increases with age (positive correlation).
- Central fat pad volume decreases with age (negative correlation).
- Significant differences in fat pad volumes in patients aged 70+.
Conclusions:
- Aging leads to differential upper eyelid fat pad changes.
- Medial fat pad prominence and central fat pad atrophy occur in older adults (>70).
- Findings have implications for blepharoplasty and understanding eyelid aging.
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