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Surgical Pearls |

Fat Repositioning in Lower Eyelid Blepharoplasty

David J. Archibald, MD1; Edward H. Farrior, MD2
[+] Author Affiliations
1Center for Plastic Surgery at Castle Rock, Castle Rock, Colorado
2Farrior Facial Plastic & Cosmetic Surgery Center, Tampa, Florida
JAMA Facial Plast Surg. 2014;16(5):375-376. doi:10.1001/jamafacial.2014.156.
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Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty because surgeons recognize the failure of fat removal to address the tear trough deformity.14 Analogous to addressing brow ptosis when considering upper eyelid blepharoplasty, patients who present with requests for lower eyelid rejuvenation most often have accompanying midface descent.

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Lower Eyelid Blepharoplasty With Suborbicularis Oculi Fat (SOOF) Repositioning

A and C, Preoperative photographs of a woman in her 50s with upper and lower eyelid dermatochalasis, prominent tear trough deformity, and malar ptosis who underwent lower eyelid blepharoplasty with SOOF repositioning as well as upper eyelid blepharoplasty. B and D, One-year postoperative photographs.

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