Improving Periorbital Aesthetics with Volume Augmentation.

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.