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Facial Plast Surg 2023; 39(01): 020-027
DOI: 10.1055/s-0042-1760114
Original Article

Transconjunctival Lower Eyelid Blepharoplasty with Volume Augmentation for Correction of the Lower Eyelid and Cheek Junction

Jamil Asaria
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology—Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada
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Abstract

Aesthetic surgical management of the inferior periorbital region should include an approach to volume augmentation of the midface and infraorbital hollow, reduction of fat pseudoherniation in the lower eyelids, and treatment of the overlying skin. A combined approach using volume augmentation with fat grafting, a transconjunctival approach to the lower eyelid fat pads, and conservative management of the lower eyelid skin can produce optimal aesthetic results while minimizing complications. Fat harvest from the thigh and abdominal region allows for ample grafting material to the lateral cheek, midface, and orbital rim. The treatment paradigm is to restore volume optimally while minimizing fat resection in the lower eyelids. Volume augmentation is used to restore youthful contours, as well as to counter deflation and laxity in the periorbital and midfacial regions.

Keywords

blepharoplasty - fat grafting - transconjunctival - eyelid surgery


Publikationsverlauf

Artikel online veröffentlicht:
27. Januar 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Donofrio LM. Fat distribution: a morphologic study of the aging face. Dermatol Surg 2000; 26 (12) 1107-1112
    CrossrefPubMedGoogle Scholar
  • 2 Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg 2007; 120 (05) 1367-1376
    CrossrefPubMedGoogle Scholar
  • 3 Hamra ST. A study of the long-term effect of malar fat repositioning in face lift surgery: short-term success but long-term failure. Plast Reconstr Surg 2002; 110 (03) 940-951 , discussion 952–959
    CrossrefPubMedGoogle Scholar
  • 4 Wong CH, Hsieh MKH, Mendelson B. The tear trough ligament: anatomical basis for the tear trough deformity. Plast Reconstr Surg 2012; 129 (06) 1392-1402
    CrossrefPubMedGoogle Scholar
  • 5 Coleman SR. Structural fat grafts: the ideal filler?. Clin Plast Surg 2001; 28 (01) 111-119
    CrossrefPubMedGoogle Scholar
  • 6 Goldberg RA. Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg 2000; 105 (02) 743-748 , discussion 749–751
    CrossrefPubMedGoogle Scholar
  • 7 Zarem HA, Resnick JI. Minimizing deformity in lower blepharoplasty. The transconjunctival approach. Clin Plast Surg 1993; 20 (02) 317-321
    CrossrefPubMedGoogle Scholar
  • 8 Monheit GD. The Jessner's-trichloroacetic acid peel. An enhanced medium-depth chemical peel. Dermatol Clin 1995; 13 (02) 277-283
    CrossrefPubMedGoogle Scholar
  • 9 Mezzana P, Scarinci F, Costantino A, Marabottini N, Valeriani M. Lower eyelid ablative fractional resurfacing: a new technique to treat skin laxity and photoaging. Acta Chir Plast 2010; 52 (2–4): 35-38
    PubMedGoogle Scholar
  • 10 Oestreicher JH, Tarassoly K. The “mini tarsal strip” lateral canthopexy for lower eyelid laser-assisted blepharoplasty-indications, technique and complications in 614 cases. Orbit 2010; 29 (01) 7-10
    CrossrefPubMedGoogle Scholar
  • 11 Lessa S, Nanci M. Simple canthopexy used in transconjunctival blepharoplasty. Ophthal Plast Reconstr Surg 2009; 25 (04) 284-288
    CrossrefPubMedGoogle Scholar
  • 12 Hass AN, Penne RB, Stefanyszyn MA, Flanagan JC. Incidence of postblepharoplasty orbital hemorrhage and associated visual loss. [published correction appears in Ophthal Plast Reconstr Surg. 2005 Mar;21(2):169] Ophthal Plast Reconstr Surg 2004; 20 (06) 426-432
    CrossrefPubMedGoogle Scholar
  • 13 Morax S, Touitou V. Complications of blepharoplasty. Orbit 2006; 25 (04) 303-318
    CrossrefPubMedGoogle Scholar
  • 14 Terella AM, Wang TD, Kim MM. Complications in periorbital surgery. Facial Plast Surg 2013; 29 (01) 64-70
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 15 Maamari RN, Massry GG, Holds JB. Complications associated with fat grafting to the lower eyelid. Facial Plast Surg Clin North Am 2019; 27 (04) 435-441
    CrossrefPubMedGoogle Scholar