title: Effacing the orbitoglabellar groove with transposed upper eyelid fat.
abstract: OBJECTIVE
  An age-related depression can develop over the superonasal orbital rim, which the authors have called the "orbitoglabellar groove (OGG)." It is, in part, related to volume loss over the rim as is seen at the lower eyelid/cheek interface (nasojugal groove). An upper eyelid fat pedicle can be transposed over the OGG during standard upper blepharoplasty surgery to reduce this depression.
  
  
  METHODS
  The charts of patients who underwent fat transposition to the OGG during upper blepharoplasty over a 20-month period (2010-2012) are retrospectively reviewed. Only primary eyelid surgery patients are included in the study. The procedure, its results, and complications are presented.
  
  
  RESULTS
  Seventeen patients are included in this study. Eleven patients (65%) are women and 6 (35%) patients are men. The average patient age is 56 years (range 47-80 years), and the average follow up is 10 months (6-14 months). Two patients (12%) developed a transient induration over the transposed fat pedicle in the postoperative period which resolved with a combination 5-fluorouracil/kenalog injection. There were no cases of postoperative infection, prolonged swelling, motility disturbance, diplopia, or eyelid malposition. Clinical effacement of the OGG was noted in all cases, and physician and patient assessment of surgical results are equally good.
  
  
  CONCLUSIONS
  The OGG is an involutional periorbital hollow present over the superonasal orbital rim. The depression can be reduced with native eyelid fat transposition during upper blepharoplasty in a similar way that lower blepharoplasty with fat repositioning effaces the nasojugal groove. The learning curve for the procedure is quick, especially for those who have experience with its lower eyelid counterpart.
authors.affiliation: Spalding Drive Cosmetic Surgery and Dermatology, Beverly Hills, California, USA.
authors.forename: Donald B
authors.initials: DB
authors.lastname: Yoo
authors.forename: Grace Lee
authors.initials: GL
authors.lastname: Peng
authors.forename: Guy G
authors.initials: GG
authors.lastname: Massry
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty; D004954:Esthetics; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000601:surgery*; D012189:Retrospective Studies; D015361:Rhytidoplasty; D015595:Skin Aging / Q000502:physiology*; D013524:Surgical Flaps; D013536:Suture Techniques