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Fat repositioning in lower eyelid blepharoplasty
R A Goldberg1, C Edelstein, K Balch
1Department of Orbital and Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, Los Angeles, CA, USA.
Seminars in Ophthalmology
|October 27, 1998
Summary
Cosmetic lower eyelid surgery focuses on restoring contour, not just removing fat. A fat redistribution technique addresses the "double convexity deformity" caused by aging, improving eyelid appearance.
Area of Science:
- Plastic Surgery
- Ophthalmology
Background:
- Aging leads to suborbital fat descent and orbital septum weakening.
- This creates a "double convexity deformity" in the lower eyelid.
- Traditional fat removal can worsen contour, creating a "concavity/convexity deformity".
Purpose of the Study:
- To describe a lower eyelid fat redistribution procedure.
- To address the "double convexity deformity" in cosmetic lower eyelid surgery.
Main Methods:
- A novel fat redistribution technique for the lower eyelid is detailed.
- The procedure aims to restore natural eyelid/midface contour.
Main Results:
- The described fat redistribution procedure effectively addresses the "double convexity deformity."
- This technique avoids the "concavity/convexity deformity" associated with simple fat removal.
Conclusions:
- Lower eyelid fat redistribution is a superior approach to restoring contour.
- This method offers improved aesthetic outcomes in cosmetic lower eyelid surgery.