A COMBINATION OF BLEPHAROPLASTY AND FASCIA-FAT GRAFTIN FOR ORBITAL VOLUME AUGMENTATION
Main Article Content
Abstract
Objectives: The correction of sunken upper eyelids often requires the functional assurance of levator palpebrae superioris. Thus, the eyelid reconstruction combined with volume augmentation of upper eyelid deficits, which was performed as a single-staged open surgery, brought more promising results than the fat grafting as a closed procedure previously. This study aimed to report the operrative outcomes of fascia-fat grafts combined with blepharoplasty in patients with sunken eyelids.
Methods: From January 2022 to December 2022, 30 patients with deficits in upper eyelids were treated by blepharoplasty combined with fascia-fat grafting. The reconstructive indications and fat volume depended on the grades of sunken eyelids.
Results: Postoperatively, swelling, periorbital bruise, difficulty in opening eyes, and blepharoptosis were transient and gradually addressed over recovered time. During 12 months of follow-up, two patients in group 2 demanded additional interventions to improve the results.
Conclusions: Thirty patients with deficits in the upper eyelids and eyelid deformities were treated by blepharoplasty along with fascia-fat grafting for volume augmentation maximally improved deformities and addressed patients’ concerns, providing a detailed procedure of upper eyelid rejuvenation.
Keywords: blepharoplasty, eyelid reconstruction, fascia-fat graft
Article Details
Keywords
blepharoplasty, fascia-fat graft
References
2. Camirand A, Doucet J, Harris J. Eyelid aging: The historical evolution of its management. Aesthetic Plastic Surgery. 2005; 29(2):65-73.
3. Park S, Kim B, Shin Y. Correction of superior sulcus deformity with orbital fat anatomic repositioning and fat graft applied to retro-orbicularis oculi fat for Asian eyelids. Aesthetic Plastic Surgery. 2011; 35:162-170.
4. Lee Yoonho, Kwon Sungtack, Hwang Kun. Correction of sunken and/or multiply folded upper eyelid by fascia-fat graft. Plastic and Reconstructive Surgery. 2001; 107(1):15-19.
5. Carpaneda CA, Ribeiro MT. Study of the histologic alterations and viability of the adipose graft in humans. Aesthetic Plastic Surgery. 1993; 17:43-47.
6. Coleman SR. Long-term survival of fat transplants: Controlled demonstrations. Aesthetic Plastic Surgery. 2020; 44(4): 1268-1272.
7. Liang L, Sheha H, Fu Y, Liu J, Tseng SC. Ocular surface morbidity in eyes with senile sunken upper eyelids. Ophthalmology. 2011; 118(12):2487-2492.
8. Hanasono MM, Kridel RW, Pastorek NJ, Glasgold MJ, Koch RJ. Correction of the soft tissue Polly beak using triamcinolone injection. Archives of Facial Plastic Surgery. 2002; 4(1):26-30.
9. Frileck SP. The lumbrical fat graft: A replacement for lost upper eyelid fat. Plastic Reconstructive Surgery. 2002; 109(5):1696-705; discussion 1706.
10. Czyz CN, Foster JA, Wulc AE. Superior sulcus volumetric rejuvenation utilizing dermis fat grafting. Aesthetic Surgery Journal. 2015; 35(7):892-898.