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CC BY-NC 4.0 · Arch Plast Surg 2015; 42(04): 469-474
DOI: 10.5999/aps.2015.42.4.469
Original Article

Correction of Sunken Upper Eyelids by Anchoring the Central Fat Pad to the Medial Fat Pad during Upper Blepharoplasty

Myeong Su Jeon
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea
,
Gyu Yong Jung
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea
,
Dong Lark Lee
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea
,
Hea Kyeong Shin
Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine, Gyeongju, Korea
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Background Many methods have been proposed for the correction of sunken upper eyelids. These methods include surgical treatments, such as micro-fat, dermofat, or fascia-fat grafts, or the use of alloplastic materials. Here, we present our experience of sunken upper eyelid correction involving the simple addition of anchoring the central fat pad to the medial fat pad during upper blepharoplasty.

Methods We performed 74 cases of upper blepharoplasty with sunken upper eyelid correction between October 2013 and September 2014. The lateral portion of the central fat pad was partially dissected to facilitate anchoring. The medial fat pad was gently exposed and then pulled out to facilitate anchoring. After the rotation of the dissected lateral portion of the central fat pad by 180° to the medial side, it was anchored spreading to the medial fat pad. Photographs taken at 6 months postoperatively were presented to three physicians for objective assessment. Of the 74 patients, 54 patients followed at 6 months postoperatively were included in this retrospective, objective assessment.

Results Sunken eyelids were effectively corrected in 51 of the 54 patients, but 3 had minimal effect because preaponeurotic fat pads had been removed during previous upper blepharoplasty. In addition to correcting sunken eyelids, lateral bulging was corrected and a better definition of the lateral portion of upper lid creases was obtained.

Conclusions Anchoring the central fat pad to the medial fat pad provides an effective means of correcting sunken upper eyelids during upper blepharoplasty.

Keywords

Blepharoplasty - Eyelids - Esthetics

This article was presented as a free paper at the 72nd Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 7-9, 2014, in Seoul, Korea.




Publication History

Received: 17 January 2015

Accepted: 10 April 2015

Article published online:
05 May 2022

© 2015. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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