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Effacing the orbitoglabellar groove with transposed upper eyelid fat
Donald B Yoo1, Grace Lee Peng, Guy G Massry
1Spalding Drive Cosmetic Surgery and Dermatology, Beverly Hills, California, USA.
Ophthalmic Plastic and Reconstructive Surgery
|March 19, 2013
Summary
Transposing upper eyelid fat during blepharoplasty effectively reduces the orbitoglabellar groove (OGG), an age-related depression. This technique offers good aesthetic results with minimal complications for rejuvenation.
Area of Science:
- Plastic Surgery
- Oculoplastic Surgery
- Aesthetic Surgery
Background:
- The superonasal orbital rim can develop age-related depressions, termed the orbitoglabellar groove (OGG).
- This hollow is associated with volume loss, similar to the nasojugal groove at the lower eyelid/cheek junction.
Purpose of the Study:
- To evaluate the efficacy of transposing an upper eyelid fat pedicle to address the orbitoglabellar groove (OGG).
- To assess the safety and outcomes of this procedure during standard upper blepharoplasty.
Main Methods:
- Retrospective review of 17 primary upper blepharoplasty patients who underwent OGG fat transposition (2010-2012).
- Analysis of procedure, results, and complications.
Main Results:
- All 17 patients achieved clinical effacement of the OGG with good physician and patient satisfaction.
- Two patients (12%) experienced transient induration, resolved with injections. No infections or eyelid malpositions occurred.
Conclusions:
- Orbitoglabellar groove (OGG) fat transposition is an effective method for correcting age-related superonasal orbital rim depressions.
- The procedure is safe, yields good aesthetic outcomes, and has a quick learning curve for experienced surgeons.
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