Novel Treatment of Pyramidal Multi-Type, Multi-Method, and Multi-Layer (3M) Autologous Fat Grafting Strategy for...

Area of Science:

• Plastic Surgery
• Dermatology
• Ophthalmology

Background:

• Lower eyelid aging presents complex challenges like tear troughs, eye bags, and dark circles.
• Current treatments often yield unsatisfactory results due to multifactorial nature of aging.
• The Pyramidal Multi-type, Multi-method, and Multi-layer (3M) strategy utilizes fat derivatives transplantation.

Purpose of the Study:

• To describe and evaluate the Pyramidal 3M fat grafting strategy for lower eyelid aging.
• To assess the efficacy and safety of this comprehensive approach.
• To analyze patient outcomes using objective and subjective measures.

Main Methods:

• Retrospective analysis of 53 patients (106 sides) undergoing Pyramidal 3M fat grafting.
• Inclusion of deep macrofat, superficial microfat/SEFF, and subdermal nanofat/SVF transplantation.
• Follow-up included modified Goldberg scale and subject satisfaction assessment (SSA) at 6 months.

Main Results:

• Mild adverse effects (edema, ecchymosis) in 3.8% of patients; no severe complications.
• Statistically significant improvements observed in both Goldberg and SSA scales.
• 11 patients (22 sides) required revision surgery for suboptimal outcomes.

Conclusions:

• Pyramidal 3M autologous fat grafting is a convenient, effective, and safe infraorbital rejuvenation method.
• The technique successfully addresses tear trough deformities, mild eye bags, and dark circles.
• Rapid recovery and high patient satisfaction are key benefits.