Transcutaneous lower eyelid blepharoplasty with micro-autologous fat transplantation harvested from orbital fat pads for lower eyelid aging treatment

Chun-Yu Cheng; Tsai-Ming Lin; Shyue-Luen Chang; Sindy Hu; Yau-Li Huang

doi:10.1016/j.bjps.2024.04.050

Transcutaneous lower eyelid blepharoplasty with micro-autologous fat transplantation harvested from orbital fat pads for lower eyelid aging treatment

J Plast Reconstr Aesthet Surg. 2024 Apr 20:93:111-113. doi: 10.1016/j.bjps.2024.04.050. Online ahead of print.

Authors

Chun-Yu Cheng¹, Tsai-Ming Lin², Shyue-Luen Chang³, Sindy Hu³, Yau-Li Huang⁴

Affiliations

¹ Department of Dermatology, Chang Gung Memorial Hospital, No.123, Dinghu Rd., Guishan Dist., Taoyuan City 333, Taiwan; College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City 333, Taiwan; Center of Tissue Engineering, Chang Gung Memorial Hospital, No. 5, Fuxing St., Guishan Dist., Taoyuan City, 33305, Taiwan.
² Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University, No. 100, Ziyou 1st Road, Sanmin Dist., Kaohsiung City 807, Taiwan; Charming Institute of Aesthetic and Regenerative Surgery (CIARS), 2F.-1, No. 172, Ziqiang 2nd Road, Qianjin Dist., Kaohsiung City 801, Taiwan.
³ Department of Dermatology, Chang Gung Memorial Hospital, No.123, Dinghu Rd., Guishan Dist., Taoyuan City 333, Taiwan; College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City 333, Taiwan.
⁴ Department of Dermatology, Chang Gung Memorial Hospital, No.123, Dinghu Rd., Guishan Dist., Taoyuan City 333, Taiwan; College of Medicine, Chang Gung University, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City 333, Taiwan. Electronic address: henryhuang0219@gmail.com.

PMID: 38678813
DOI: 10.1016/j.bjps.2024.04.050

Abstract

The aging process of lower eyelids results in lower eyelid wrinkles, tear troughs, and eye bags. Many therapies have been described for treatment of lower eyelid aging, and transcutaneous blepharoplasty is often used for treating cases with eyebags and dermatochalasis. However, it may cause depression near the medial orbit resulting in a hollowed look. In the present study, we developed an innovative method transferring the herniated fatty tissue to volume loss area during the surgical procedure of transcutaneous lower eyelid blepharoplasty by means of micro-autologous fat transplantation harvested from resected orbital fat pads. Besides, we also analyze it efficacy and safety compared with traditional methods of transcutaneous lower eyelid blepharoplasty. We reviewed the records of the patients who underwent transcutaneous lower eyelid blepharoplasty with and without micro-autologous fat transplantation, for lower eyelid aging improvement. We used global aesthetic improvement scale, Hirmand's classification system, and Wrinkle Severity Rating Scale to evaluate the cosmetic outcome at 1 week, 1 month, and 3 months after operation by two independent investigators. We found patients received transcutaneous lower eyelid blepharoplasty with autologous fat graft had significantly higher global aesthetic improvement scale and Wrinkle Severity Rating Scale improvement than those underwent transcutaneous lower eyelid blepharoplasty only in each evaluation timepoints. There was no significant difference of adverse effects between both surgical methods. The present study demonstrated the efficacy and safety of the lower eyelid blepharoplasty with micro-autologous fat transplantation harvesting from resected orbital fat pads.

Keywords: Aging; Autologous fat transplantation; Blepharoplasty; Lower eyelid.