title: Long-term results of autologous periorbital lipotransfer.
abstract: OBJECTIVE
  To evaluate the long-term aesthetic results in patients treated with autologous periorbital lipotransfer.
  
  
  METHODS
  A retrospective review of 114 consecutive patients during 4 years who underwent autologous periorbital lipotransfer. Of these patients, 99 were identified who had complete photographic and medical records and were therefore included in the study. Patients were placed into 5 groups based on their total length of postoperative follow-up. Periorbital volume augmentation was assessed by 3 independent masked evaluators using a standard aesthetic scale from 0 to 2 (with 0 indicating no improvement; 1, mild improvement; and 2, marked improvement). Interobserver correlation was determined by κ correlation, and Mann-Whitney tests were used to assess for statistical significance comparing the same patients in each group.
  
  
  RESULTS
  Scores from the 3 independent evaluators correlated well (κ = 0.316); aesthetic improvement was seen in almost all patients (86.4%), who had demonstrated improvement for the first 3 years of follow-up. The degree of improvement decreased each year, and only mild improvement was retained in most patients (68.2%) by the 3-year follow-up point (P = .049).
  
  
  CONCLUSIONS
  Results from most patients who underwent autologous periorbital lipotransfer demonstrated improvement that lasted as long as 3 years. Autologous periorbital lipotransfer remains a valid and effective technique for periorbital rejuvenation and demonstrates long-term potential effectiveness.
authors.affiliation: Division of Facial Plastic and Reconstructive Surgery, Yeh Facial Plastic Surgery, 24331 El Toro Road, Laguna Woods, CA 92637, USA. info@YehFacialPlasticSurgery.com
authors.forename: Cory C
authors.initials: CC
authors.lastname: Yeh
authors.forename: Edwin F
authors.initials: EF
authors.lastname: Williams
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D003357:Cosmetic Techniques; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D012060:Rejuvenation; D012189:Retrospective Studies; D014182:Transplantation, Autologous