Infraorbital groove correction by microfat injection after lower blepharoplasty
Alessandro Innocenti, Dario Melita
Read MoreWe read with great interest the article titled “Infraorbital groove correction by microfat injection after lower blepharoplasty” by Won Lee et al.
The authors described a new interesting technique, involving the use of autologous fat from periorbital compartments, for infraorbital groove correction after lower blepharoplasty, with the main advantage of correction the deep infraorbital groove and subsequently rejuvenating the lower eyelid area without the need for further fat tissue donor area.
https://www.jprasurg.com/article/S1748-6815(20)30185-6/fulltext
COMMENTARY:
Won Lee, Jin-Kwon Cho, Eun-Jung Yang
We thank Dr. Wen-Tsao Ho for an astute description of our study. As we described in our article, fat transposition and grafting are useful for filling the infraorbital groove. Fat pad sliding involves shifting the medial orbital fat normally excised in lower blepharoplasty, and naturally, central fat pad sliding can also be performed at the centre of the infraorbital groove. However, as we described in our article, fat pad sliding sometimes results in undercorrection. Infraorbital grooves are not always due to volume loss. They are also caused by different factors, such as skin thickness differences and orbicularis oculi muscle changes. Thus, fat pad sliding can only compensate for the volume of the layers below the muscles of the infraorbital groove, which can sometimes lead to insufficient results. Our method can fill the subcutaneous volume loss with fat; hence, it can be more effective than performing deep volumisation alone.
https://www.jprasurg.com/article/S1748-6815(20)30186-8/fulltext
Journal : JPRAS
Ref : Facial Aesthetics Fat transfer Lower lid blepharoplasty