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The mysterious second temporal fat pad.

A M Putterman1

  • 1University of Illinois Eye and Ear Infirmary, Chicago.

Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1985
PubMed
Summary
This summary is machine-generated.

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Residual temporal eyelid fullness after cosmetic surgery can be resolved by identifying and removing a previously undiscovered second temporal fat pad. This surgical refinement prevents the need for repeat procedures to correct herniated orbital fat.

Area of Science:

  • Oculoplastic Surgery
  • Facial Anatomy
  • Cosmetic Procedures

Background:

  • Temporal eyelid fullness is a common complication following cosmetic oculoplastic surgery.
  • This issue arises from residual herniation of orbital fat, often necessitating revision surgery.
  • Existing anatomical descriptions identify three primary lower eyelid fat pads.

Purpose of the Study:

  • To identify the cause of persistent temporal herniated orbital fat after initial surgical correction.
  • To describe a newly identified anatomical structure contributing to this complication.
  • To present a surgical technique to eliminate residual temporal fat herniation.

Main Methods:

  • Surgical exploration and identification of orbital fat compartments during revision procedures.

Related Experiment Videos

  • Detailed anatomical dissection and characterization of identified fat pads.
  • Excision of the newly discovered second temporal fat pad in affected patients.

    • Main Results:

    • A previously undescribed second temporal fat pad was identified.
    • Excision of this second temporal fat pad successfully resolved temporal eyelid fullness.
    • No cases of residual temporal lower eyelid fat herniation were observed post-excision.

    Conclusions:

    • The presence of a second temporal fat pad is a key factor in residual herniation after cosmetic eyelid surgery.
    • Targeting and removing this second temporal fat pad offers a definitive solution.
    • This approach enhances outcomes and reduces the need for revision surgeries in cosmetic oculoplastic procedures.