title: Fat repositioning in lower eyelid blepharoplasty.
abstract: Cosmetic lower eyelid surgery is not about removing excess skin, muscle, and fat. Rather, it is about restoring eyelid/midface contour. By the third decade of life, the suborbital orbicularis oculi fat begins to descend and the orbital septum weakens and bows forward creating the classic "double convexity deformity." The removal of eyelid fat simply converts this deformity to a "concavity/convexity deformity." The lower eyelid fat redistribution procedure, as described herein, can be used to address this problem.
authors.affiliation: Department of Orbital and Ophthalmic Plastic and Reconstructive Surgery, Jules Stein Eye Institute, Los Angeles, CA, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Goldberg
authors.forename: C
authors.initials: C
authors.lastname: Edelstein
authors.forename: K
authors.initials: K
authors.lastname: Balch
authors.forename: N
authors.initials: N
authors.lastname: Shorr
mesh_terms: D000273:Adipose Tissue / Q000601:surgery*; D019882:Blepharoplasty / Q000379:methods*; D005141:Eyelid Diseases / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D013524:Surgical Flaps; D013536:Suture Techniques; D016896:Treatment Outcome