Many techniques have been described in the literature to improve nasojugal deformity. As is typically the case when there are several different techniques to improve the same problem, none of these approaches has stood the test of time and become favored. The transconjunctival sub–orbicularis oculi fat (SOOF) pad lift blepharoplasty is a new approach that I [M.S.F.] have used for more than 18 months in 64 patients. The technique has proved reliable and safe and yields excellent results that persist over time.
A patient before (A) and 6 months after (B) 4-quadrant blepharoplasty and microinjections of fat to the midface and periocular area. Lower blepharoplasty consisted of transconjunctival fat and septal advancement to infraorbital subperiosteal pocket.
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