title: Fat transposition with a single subdermal stitch for the treatment of deep tear trough.
abstract: OBJECTIVE
  To describe a fixation technique of the medial and central fat pads in the subperiosteal pocket for transconjunctival fat transposition, using a single subdermal, non-removable, non-absorbable stitch.
  
  
  METHODS
  Retrospective study of 19 patients with bilateral deep tear through treated by means of transconjunctival fat transposition. Charts and photographic records were reviewed.
  
  
  RESULTS
  Photographical and clinical improvement of the deep tear through and fat prolapse was observed in all patients in variable degrees. There were no intraoperative complications. Significant periocular hematoma occurred in 1 patient and solved without complications. Two patients presented transitory fat pedicle hardening and one patient presented a conjunctival inferior fornix granuloma, surgically removed. All patients were satisfied.
  
  
  CONCLUSIONS
  Transconjunctival subperiosteal fat transposition with single subdermal stitch to fix the medial and central fat pads, for the treatment of deep tear trough and fat prolapse demonstrated high patient satisfaction, good aesthetic results with no significant or permanent complications.
authors.affiliation: Institut de Microcirurgia Ocular , Josep Maria Llado 3, Barcelona , Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Medel
authors.forename: Vanessa
authors.initials: V
authors.lastname: Hristodulopulos
authors.forename: LuzMaría
authors.initials: L
authors.lastname: Vásquez
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D000368:Aged; D019882:Blepharoplasty / Q000379:methods*; D003228:Conjunctiva / Q000601:surgery*; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011391:Prolapse; D012189:Retrospective Studies; D013536:Suture Techniques
keywords: Deep tear trough; fat prolapse; fat reposition; transconjunctival blepharoplasty