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Transposition Upper Blepharoplasty With Orbital Retaining Ligament Release.

Alison Huggins1, Marie Somogyi, Tanuj Nakra

  • 1TOC Eye and Face, Austin, Texas, U.S.A.

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This study shows that transposing the upper eyelid fat pad during blepharoplasty effectively restores volume. This safe technique enhances upper eyelid and periorbital rejuvenation with high patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Ophthalmic Plastic Surgery
  • Aesthetic Facial Rejuvenation

Background:

  • Volume restoration is crucial for aesthetic facial rejuvenation, especially in the brow and upper eyelid areas.
  • Upper blepharoplasty aims to improve the appearance of the eyelids.

Purpose of the Study:

  • To describe a surgical technique involving transposition of the central, preaponeurotic fat pad.
  • To evaluate the efficacy of this technique for sub-brow volume augmentation during upper blepharoplasty.

Main Methods:

  • Retrospective review of patients undergoing transposition of the upper eyelid central, preaponeurotic fat pad.
  • Surgical technique involved fat pad pedicle placement in the sub-brow space after full brow release.

Main Results:

  • Nineteen patients (36 eyelids) were included in the study.
  • No complications or adverse events were reported.
  • All patients expressed satisfaction with the aesthetic outcomes.

Conclusions:

  • Transposition upper blepharoplasty with complete brow release is a safe and effective procedure.
  • This technique serves as a valuable adjunct for upper eyelid and periorbital rejuvenation.