Transcutaneous Lower Blepharopllasty with Fat Transposition

摘要

Recent studies of periorbital aging have emphasized orbital fat preservation and transposition as an effective means of rejuvenating the lower lid and midface. Frequently, patients present with orbital fat pseudoherniation and evidence of skeletonization of the infraorbital bony rim. In these cases, it is preferable to advance intraorbital fat and redundant orbital septum over the bony infraorbital rim rather than excise fat. This provides soft tissue cover over the rim, which reduces the skeletonization, resulting in a more aesthetic contour to the inferior periorbital region. The senior author's technique for this procedure is discussed in detail.