title: Fat-conserving aesthetic lower blepharoplasty.
abstract: OBJECTIVE
  To evaluate a variation on lower eyelid fat-conserving blepharoplasty as a treatment for several facets of periorbital aging, especially eyelid fat protrusion and skeletonization of the inferior orbital rim.
  
  
  METHODS
  Retrospective review of 14 consecutive patients at an academic center who underwent fat-conserving lower blepharoplasty over an 8-month period. Independent evaluation of surgical success was performed by two experienced surgeons.
  
  
  RESULTS
  Fat-conserving blepharoplasty corrected skeletonization of the inferior orbital rim in 13 of 14 cases, and was moderately effective at correction of lower eyelid fat protrusion and wrinkles. There were no complications.
  
  
  CONCLUSIONS
  Fat-conserving lower blepharoplasty is a safe and effective surgical technique for reduction of visibility of the bony orbital rim and can complement other procedures used to improve signs of aging in the periorbital region.
authors.affiliation: Department of Ophthalmology, University of Michigan Medical School, Ann Arbor, USA.
authors.forename: R G
authors.initials: RG
authors.lastname: Fante
authors.forename: S R
authors.initials: SR
authors.lastname: Baker
mesh_terms: D000273:Adipose Tissue / Q000601:surgery*; D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D004954:Esthetics; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015595:Skin Aging