RSS-Feed abonnieren
DOI: 10.1055/s-0042-1760114
Transconjunctival Lower Eyelid Blepharoplasty with Volume Augmentation for Correction of the Lower Eyelid and Cheek Junction
![](https://www.thieme-connect.de/media/fps/202301/lookinside/thumbnails/10-1055-s-0042-1760114_2022090159oa-1.jpg)
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.
Publikationsverlauf
Artikel online veröffentlicht:
27. Januar 2023
© 2023. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Donofrio LM. Fat distribution: a morphologic study of the aging face. Dermatol Surg 2000; 26 (12) 1107-1112
- 2 Lambros V. Observations on periorbital and midface aging. Plast Reconstr Surg 2007; 120 (05) 1367-1376
- 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
- 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
- 5 Coleman SR. Structural fat grafts: the ideal filler?. Clin Plast Surg 2001; 28 (01) 111-119
- 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
- 7 Zarem HA, Resnick JI. Minimizing deformity in lower blepharoplasty. The transconjunctival approach. Clin Plast Surg 1993; 20 (02) 317-321
- 8 Monheit GD. The Jessner's-trichloroacetic acid peel. An enhanced medium-depth chemical peel. Dermatol Clin 1995; 13 (02) 277-283
- 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
- 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
- 11 Lessa S, Nanci M. Simple canthopexy used in transconjunctival blepharoplasty. Ophthal Plast Reconstr Surg 2009; 25 (04) 284-288
- 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
- 13 Morax S, Touitou V. Complications of blepharoplasty. Orbit 2006; 25 (04) 303-318
- 14 Terella AM, Wang TD, Kim MM. Complications in periorbital surgery. Facial Plast Surg 2013; 29 (01) 64-70
- 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