Naso-jugal groove leveling with fat tissue

One of the causes of a depressed naso-jugal groove is the fixation of the septum orbitale at the level of the inferior-medial portion of the arcus marginalis. To permit the leveling of the groove, it is necessary to liberate the subjacent orbital septum from its fixation to the arcus marginalis. To avoid recurrence of the depression, some fat tissue is properly placed in the undermined space subjacent to the groove. This can be done by free fat grafting or fat pad sliding.