The suborbicularis oculi fat pads: an anatomic and clinical study

Area of Science:

• Plastic Surgery
• Oculoplastic Surgery
• Facial Anatomy

Background:

• The retro-orbicularis oculi fat (ROOF) concept addresses upper eyelid aesthetic deformities.
• The suborbicularis oculi fat (SOOF) is an under-recognized contributor to lower eyelid aging and deformity.

Purpose of the Study:

• To anatomically describe the SOOF.
• To demonstrate the correction of SOOF.
• To present a novel approach for correcting both upper and lower orbital aesthetic deformities.

Main Methods:

• Anatomical description of the SOOF.
• Surgical demonstration of SOOF correction.
• Evaluation of combined upper and lower blepharoplasty techniques.

Main Results:

• The SOOF is identified as a distinct anatomical entity.
• Correction of the SOOF improves lower eyelid aesthetics.
• The described techniques effectively address both upper and lower orbital aging.

Conclusions:

• The SOOF is a significant factor in lower eyelid aesthetic deformities.
• A new surgical approach offers effective correction for SOOF and related upper eyelid fat.
• This approach can be performed alone or with blepharoplasty for comprehensive orbital rejuvenation.