Correcting Sunken Eyelid by Orbital Fat Transposition During Subbrow Lift

Area of Science:

• Oculoplastic Surgery
• Facial Aesthetic Procedures

Background:

• The subbrow approach offers advantages over upper blepharoplasty for lateral hooding.
• It facilitates periorbital fat removal and orbicularis oculi muscle tightening.
• This study focuses on repositioning the medial fat pad to enhance central eyelid aesthetics.

Purpose of the Study:

• To evaluate a novel subbrow lift technique for improving eyelid contour.
• To assess the efficacy of medial fat pad repositioning for central fullness and reduced bulging.
• To document patient outcomes and satisfaction following the procedure.

Main Methods:

• A prospective study involving 74 patients from January 2023 to June 2024.
• Preoperative and 6-month postoperative follow-ups were conducted.
• Medial and central fat pad bulging was graded using a 0-3 scale.

Main Results:

• A significant reduction in medial fat pad bulging (0.8 grade decrease) was observed.
• A notable increase in central fat pad volume (1.3 grade increase) indicated improved fullness.
• 78% patient satisfaction was reported, with many noting marked improvement.

Conclusions:

• The described subbrow lift technique is highly effective for aesthetic eyelid rejuvenation.
• The noticeable and positive changes contribute to high patient satisfaction.
• Repositioning orbital fat offers superior aesthetic outcomes in blepharoplasty.