Herniated fat and the orbital septum of the lower lid.
The bulging fat of aging eyelids has always been described as a hernia; yet, the treatment has not been that of a true hernia. Rather, the contents (orbital fat) have been excised and the hernia wall left unrepaired. It is possible to treat bulging lower eyelids as a hernia by replacing both the fat and the sac into the original location within the orbital cavity, and then repairing the retaining wall.
Mendelson
B C
BC
Avenue Hospital, Melbourne, Australia.
D000273:Adipose Tissue / Q000473:pathology*; D000328:Adult; D001763:Blepharoptosis / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012008:Recurrence; D015595:Skin Aging; D013518:Surgery, Plastic / Q000379:methods* / Q000592:standards