title: Fat Grafting for Recontouring Sunken Upper Eyelids With Multiple Folds in Asians-Novel Mechanism for Neoformation of Double Eyelid Crease.
abstract: BACKGROUND
  This study reviewed the mini invasive technique, microautologous fat transplantation (MAFT), as a strategy in simultaneously treating sunken upper eyelids with multiple folds and recreating a double eyelid crease in Asian people.
  
  
  METHODS
  The MAFT was performed with the assistance of a patented medical device, the MAFT-GUN, on 34 patients who had sunken upper eyelids and multiple folds. Each delivered fat parcel was accurately and consistently maintained at 1/240 mL during placement. Follow-up was regularly performed with photography for comparison.
  
  
  RESULTS
  Fifty-eight sunken upper eyelids with multiple folds were reconstructed. In addition to the ameliorative recontouring of hollowness, a natural eyelid crease was created postoperatively. Temporary swelling and bruising were noted several days after surgery without morbidities, such as fibrosis or nodulation. All of the patients were satisfied with the 1-time MAFT procedure.
  
  
  CONCLUSIONS
  Fat grafting for sunken upper eyelids with multiple folds has been reported in the literature. However, temporal effects and complications, such as nodulation and irregularity, have often occurred. A new method, MAFT, demonstrated its reliability as a modality for sunken upper eyelids with multiple folds in Asians. Moreover, MAFT might serve as an alternative for neoformation of double eyelids in these candidates.
authors.affiliation: From the *Charming Institute of Aesthetic and Regenerative Surgery (CIARS); †Department of Plastic Surgery, ‡Division of Trauma, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University; §Yuan's General Hospital; and ∥Department of Post Baccalaureate Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Tsai-Ming
authors.initials: TM
authors.lastname: Lin
authors.forename: Tsung-Ying
authors.initials: TY
authors.lastname: Lin
authors.forename: Yu-Hao
authors.initials: YH
authors.lastname: Huang
authors.forename: Tung-Ying
authors.initials: TY
authors.lastname: Hsieh
authors.forename: Chih-Kang
authors.initials: CK
authors.lastname: Chou
authors.forename: Hidenobu
authors.initials: H
authors.lastname: Takahashi
authors.forename: Chung-Sheng
authors.initials: CS
authors.lastname: Lai
authors.forename: Sin-Daw
authors.initials: SD
authors.lastname: Lin
mesh_terms: D000328:Adult; D044466:Asian People; D019882:Blepharoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D050151:Subcutaneous Fat / Q000637:transplantation*