o should undergo Fat Transfer or Fat Repositioning Procedure?
Individuals or patients with any of the following conditions are suitable candidates for fat transfer or fat repositioning procedure:
- Herniation of lower eyelid fat
- Individuals with tear-trough deformity
- Individuals who would accept possible risks and complications
- Individuals with realistic expectations about the outcome of surgery.
Fat repositioning procedure should be undertaken only after proper counselling regarding all possible outcomes of surgery.
How does a Fat Transfer or Fat Repositioning improve outcome in Blepharoplasty?
Fat transfer or Fat Repositioning procedure, particularly the transconjunctival variety, benefits patients in one or more of the following ways:
The bony outline of the eyeball socket is covered up using the periorbital fat to provide a thicker cover to reduce skeletonization or sunkenness thus enhancing the youthful appearance of the periorbital region.
- Even modest fat removal in patients with underdevelopment of the eyeball socket rims could synergistically improve the prominent appearance of the eyeballs. Mobilizing fat over the rim enhances the coverage of the orbital bony rim and elevates the sunken area helping to camouflage some of the prominence of the globes.
- Orbital fat could be mobilized below the attachment of the levator labii superioris alaeque nasi to efface the contour of depression seen in a prominent nasojugal groove..
- Regular blepharoplasty or eyelid surgery results in a sunken-eye appearance as it unmasks the inferior rim of the eyeball socket which was previously hidden by prolapsed fat. Fat transfer or repositioning in deep-set eyes with fat protrusion during transconjunctival blepharoplasty produces a good cosmetic appearance of the entire eye.
What are the possible advantages and disadvantages of Fat Repositioning?
- Fat repositioning is advantageous in preventing the development of tear-trough deformity or more often, it is used for the treatment of herniated orbital fat with minimal risk of complications.
- However, fat repositioning has its disadvantages in being difficult to master, with a steep learning curve. Poor fat repositioning by an inexperienced surgeon is associated with complications such as double vision due to inadvertent inferior oblique muscle injury, development of fat granulomas, prolonged oedema or swelling and occasionally, permanent irregularities of soft tissues.
Summary Fat Transfer or Fat Repositioning Procedure
- Transcutaneous lower blepharoplasty has been replaced by transconjunctival blepharoplastysurpassing the former in terms of patient satisfaction and fewer complications. This change has heralded the use of fat transfer or fat repositioning as an integral procedure with transconjunctival lower blepharoplasty.
- However, the use of transconjunctival blepharoplasty is limited by the fact that there is a significant learning curve associated in using this technique.
- Fat transfer or fat repositioning has thus become a rising star in eyelid surgery in recent times.