Correction of Sunken Upper Eyelid in Asian Blepharoplasty Based on Anatomical and Histological Study of Orbital Fat Fascia Flap

Gao, Shenzhen; Yi, Min; Li, C.W.; Lu, Baixue; Gao, Weicheng

doi:10.1007/s00266-023-03537-2

Cited by 2 publications

(7 citation statements)

References 15 publications

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“…17 However, many early attempts were associated with significant side effects due to improperly injected fat. 3,11 The most observed complication resulting from fat necrosis due to overcorrection was the formation of lumps or irregularities. In recent years, the development of micro fat grafting techniques has substantially mitigated the potential for such issues.…”

Section: Discussionmentioning

confidence: 99%

“…As a traditional solution for volume deficiency of sunken eyelids, fat grafting has been widely used 17 . However, many early attempts were associated with significant side effects due to improperly injected fat 3,11 . The most observed complication resulting from fat necrosis due to overcorrection was the formation of lumps or irregularities.…”

Section: Discussionmentioning

confidence: 99%

“…Among these, fat grafting can be relatively easily applied, and its techniques have evolved, including the development of micro fat grafting techniques 9,10 . Several surgical approaches involving the use of orbital fat pad flaps have been employed to reduce the absorption rate of fat, which is a primary concern with fat grafting 3,11,12 . However, the fat pad flap technique does not always guarantee stable fixation of the flap.…”

Section: Introductionmentioning

confidence: 99%

“…23,24 Gao et al analyzed the anatomy of the orbital fat pad and reported favorable outcomes by considering this in flap transposition 11. However, as reported in other studies and from the author's practical experience, predicting the absorption rate of orbital fat flaps has been challenging, and the possibility of flap migration exists even with fixation.With these concerns in mind, we attempted an effective improvement by releasing orbital fat from the deepest part, which is considered the primary cause of the sunken appearance.…”

mentioning

confidence: 99%

“…9,10 Several surgical approaches involving the use of orbital fat pad flaps have been employed to reduce the absorption rate of fat, which is a primary concern with fat grafting. 3,11,12 However, the fat pad flap technique does not always guarantee stable fixation of the flap. Therefore, we explored strategies for the more effective placement of orbital fat.…”

mentioning

confidence: 99%

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Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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BackgroundSunken upper eyelids, characterized by hollowing in the upper orbital effects, involving the release of the arcus marginalis of the upper eyelid and the precise distribution of orbital fat.MethodsFrom December 2021 to March 2023, a total of 84 eyelids from 42 patients who underwent surgical correction for sunken upper eyelids, utilizing the upper arcus marginalis release and precision fat distribution technique, were included in this study. Preoperative and postoperative sunken depths were measured and statistically analyzed. Aesthetic satisfaction was assessed through patient questionnaires.ResultsPreoperative and postoperative sunken depths measured 9.2 ± 2.2 mm and 5.9 ± 2.3 mm, respectively. The mean improvement was 3.3 mm, a change of statistical significance. Aesthetic outcomes and patient satisfaction yielded favorable results. No major complications were observed during the follow‐up period.ConclusionThe upper arcus marginalis release and orbital fat distribution technique demonstrated favorable outcomes in correcting sunken upper eyelids. This procedure ensures stable placement of orbital fat at the deepest sunken point, resulting in aesthetically pleasing and enduring results. This technique serves as a valuable alternative for patients with moderate to severe sunken eyelids.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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Research progress of orbital fat in histology and cytology: A review

Li,

Gao,

Gao

2024

Medicine

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Orbital fat is an adipose tissue located behind orbital septum and originates from mesoderm and neural crest in ectoderm. It has been found that the histologic structure of orbital fat is different from subcutaneous and visceral fat. In addition, the regeneration and anti-inflammatory ability of stem cells derived from orbital fat have attracted much attention in recent years. This paper reviews the recent research progress on orbital fat, including its structure, origin, histological characteristics, and related stem cells.

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Correction of Sunken Upper Eyelid in Asian Blepharoplasty Based on Anatomical and Histological Study of Orbital Fat Fascia Flap

Cited by 2 publications

References 15 publications

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Research progress of orbital fat in histology and cytology: A review

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