Application of Microautologous Fat Transplantation in the Correction of Sunken Upper Eyelid

Lin, Tsai-Ming; Lin, Tong; Chou, Chung Kuao; Lai, Chung-Sheng; Lin, Sin-Daw

doi:10.1097/gox.0000000000000141

Cited by 52 publications

(46 citation statements)

References 24 publications

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“…In a recent study, Lin et al . presented their experience with microautologous fat grafts in 168 patients during a 3‐year period.…”

Section: Resultsmentioning

confidence: 99%

“…Technically, we advocate that the majority of the injection is placed not too inferiorly relative to the most depressed area without abrupt contour change . Also, the fat graft should be performed with evenly small particles to increase its graft survival . Otherwise, we recommend that the HA filler is injected as a confluent mass using the depot technique.…”

Section: Discussionmentioning

confidence: 99%

“…24 Also, the fat graft should be performed with evenly small particles to increase its graft survival. 10,24,33 Otherwise, we recommend that the HA filler is injected as a confluent mass using the depot technique. This makes it easier to dissolve with hyaluronidase for later correction, if necessary, and may increase longevity by reducing the contact area between the tissues.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent study, Lin et al 10 presented their experience with microautologous fat grafts in 168 patients during a 3-year period. Fat was harvested with a 3-mm blunt cannula and centrifuged for 3 min at 3000 rpm as Coleman's technique.…”

Section: Isolated Volume Supplement With Autologous Fat Graftmentioning

confidence: 99%

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Rejuvenation of the deep superior sulcus in the eyelid

Moon

Ahn

Lee

et al. 2016

J of Cosmetic Dermatology

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“…In a recent study, Lin et al . presented their experience with microautologous fat grafts in 168 patients during a 3‐year period.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Isolated Volume Supplement With Autologous Fat Graftmentioning

confidence: 99%

See 2 more Smart Citations

Rejuvenation of the deep superior sulcus in the eyelid

Moon

Ahn

Lee

et al. 2016

J of Cosmetic Dermatology

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show abstract

“…In addition, the risk of fat embolism, which can lead to stroke or blindness, can not be completely ruled out [13,21]. To overcome these limitations, several studies utilized dermofat grafting and reported good results [19,20]. However, this procedure is associated with donor site mor bidity, including scarring [21].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a de-epithelialized orbicularis oculi musculocutaneous flap for subbrow blepharoplasty

Kim

Ahn

Suh

et al. 2019

Arch Aesthetic Plast Surg

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Background Subbrow blepharoplasty (SBB) has advantages over traditional blepharoplasty in that it results in more natural-looking creases and contours and is more effective for lateral periorbital rejuvenation. However, in older patients with sunken upper eyelid, this procedure might make the superior eyelid sulcus appear worse because the thicker upper eyelid tissue in the subbrow area is replaced by thinner tissue. To overcome this limitation, we developed a de-epithelialized musculocutaneous flap for SBB. Methods From August 2016 to January 2018, 13 patients with sunken upper eyelid deformity underwent SBB. For each of these patients, a typical SBB incision was made, but the tissue usually removed in SBB was dissected as a flap based on the branch of the ophthalmic vessel. After elevation, the flap was transposed or folded to correct the sunken deformity. The results were assessed by the patients themselves and by three plastic surgeons at 6 months postoperatively. Results The mean age of the patients was 63 years (range, 47-81 years). There were no postoperative complications related to wound dehiscence, hypertrophic scarring, or sensory changes. All patients and plastic surgeons provided scores indicating good to excellent results and were satisfied with the cosmetic outcomes. All patients reported improved functional visual acuity after surgery. Conclusions Our technique is simple and effectively addresses both sunken upper eyelid deformity and dermatochalasis. Unlike fat or dermofat grafting, our new technique does not require an additional donor site, and it is more reliable in terms of vascularity.

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