Correction of saddlebag deformity of the lower eyelids by superficial suction lipectomy

A simple, quick, and safe method for the correction of eyelid saddlebag deformity is presented. Past techniques involved intricate muscle transposition flaps and extensive dissection. Anatomic dissection clearly demonstrates that the saddlebag deformity is caused by an excess of subcutaneous fat in a well-defined space similar to the fat pads of the upper and lower eyelids. This newly described fat pad lies over the preorbital fibers of the orbicularis oculi muscle and at times extends into the malar area. The technique of superficial suction lipectomy for the removal of eyelid saddlebag deformity is simple and done with local anesthesia on an outpatient basis. Results in multiple patients with follow-up ranging from 1 to 7 years are presented.