Transcutaneous Lower Eyelid Blepharoplasty

Fat Repositioning in Lower Blepharoplasty: Does the Plane of Fat Transposition Affect the Outcome?

“…The procedure was fi rst described in 1981 (Loeb 1981 ) and since that time has been further elucidated in numerous reports (Hamra 1995 ;Goldberg 2000 ;Mohadjer and Holds 2006 ). Eyelid fat can be accessed through an open transcutaneous (Perkins and Holden 2011 ) or closed transconjunctival incision (Goldberg 2000 ;Mohadjer and Holds 2006 ), and fat can be placed into either the sub- (Goldberg 2000 ) or supraperiosteal planes (Mohadjer and Holds 2006 ). It is well documented in the literature that the transconjunctival approach to surgery, while more detailed and complex, leads to less postoperative complications, primarily lower eyelid malposition (Massry 2010 ).…”