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Related Experiment Video

Updated: Jan 12, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Improving Periorbital Aesthetics with Volume Augmentation.

Jamil Asaria1

  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Canada; FACE, Toronto, Canada.

Facial Plastic Surgery Clinics of North America
|November 7, 2025
PubMed
Summary

Optimal aesthetic results in the lower eyelids involve midface volume augmentation and conservative fat management. This approach restores youthful contours while minimizing complications for periorbital rejuvenation.

Keywords:
BlepharoplastyFat graftingFat transferLower eyelid surgeryPeriorbital rejuvenationVolume augmentation

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Dermatology

Background:

  • The inferior periorbital region's aesthetic concerns include midface volume loss, infraorbital hollowness, lower eyelid fat pseudoherniation, and skin laxity.
  • Traditional approaches often focus on fat resection, potentially leading to suboptimal aesthetic outcomes and complications.

Purpose of the Study:

  • To present a comprehensive surgical paradigm for the aesthetic management of the inferior periorbital region.
  • To emphasize volume restoration and conservative fat handling for improved outcomes.

Main Methods:

  • A combined surgical approach incorporating fat grafting for volume augmentation of the midface and infraorbital hollow.
  • Utilizing a transconjunctival approach for managing lower eyelid fat pads.
  • Implementing conservative skin treatments for overlying skin concerns.

Main Results:

  • Achieving optimal aesthetic results by restoring youthful contours and addressing deflation and laxity.
  • Minimizing complications through a paradigm focused on volume restoration over extensive fat resection.
  • Successful rejuvenation of the periorbital and midfacial regions.

Conclusions:

  • A combined approach of volume augmentation (fat grafting) and conservative lower eyelid fat management yields superior aesthetic results.
  • Prioritizing volume restoration over fat resection is key to countering aging signs in the periorbital area.
  • This technique effectively addresses lower eyelid concerns while enhancing midfacial aesthetics.