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Endoscopic Tear Trough Correction with Fat Graft During Mid-face Lift.

Ufuk Askeroglu1, Fatih Ceran2, Ozgur Pilanci1

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Summary

Endoscopic-assisted fat grafting effectively corrects tear trough deformity, a sign of aging around the eyes. This technique preserves anatomy, restores volume precisely, and results in minimal scarring for improved patient satisfaction.

Keywords:
Endoscopic faceliftFat graftMid-face liftOrbital fat graftingTear trough deformityTemporal lift

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Area of Science:

  • Plastic Surgery
  • Oculoplastic Surgery
  • Facial Rejuvenation

Background:

  • Tear trough deformity is a common sign of periorbital aging.
  • Existing treatments include implants, fillers, and fat grafting.
  • Endoscopic-assisted fat grafting offers a potential solution for tear trough correction.

Purpose of the Study:

  • To evaluate the application of endoscopically assisted fat grafting for tear trough deformity correction.
  • To assess the efficacy and outcomes of this technique in combination with mid-face lift surgery.

Main Methods:

  • Thirty-two patients with tear trough deformity underwent endoscopic-assisted fat grafting and mid-face lift.
  • Pre- and postoperative photographs were evaluated using the tear trough rating scale by independent surgeons.

Main Results:

  • Complete elimination of tear trough deformity in all patients.
  • Stable fat grafts observed at twelve months post-surgery.
  • The technique demonstrated anatomical integrity preservation, precise volumetric restoration, and scarless outcomes.

Conclusions:

  • Endoscopic-assisted fat grafting integrated with mid-face lift provides a comprehensive solution for tear trough deformity.
  • The procedure offers anatomical integrity, precise volume restoration, and minimal scarring, enhancing patient satisfaction.
  • Careful patient selection and ongoing monitoring are crucial for optimal results and managing potential complications.