Abstract
The lateral fullness of the upper eyelid is its convex surface area from the eyebrow to the eyelid crease. Rejuvenation of upper eyelids can be achieved by accenting their fullness. An S-shaped fusiform skin segment is removed from the upper eyelid, with care taken to spare the orbicularis occuli muscle. Approximately 1 ml of fat tissue is excised from the medial compartment by transmuscular incision. The fat is placed in the crease, and the orbicularis occuli muscle is stitched together over the transplanted fat tissue. Imbrication of the orbicularis occuli muscle and insertion of 1 ml of fat tissue into the muscle layers increase the lateral fullness and significantly emphasizes the aesthetic result of upper eyelid blepharoplasty.
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Fagien S: Advanced rejuvenative upper blepharoplasty: Enhancing aesthetics of the upper periorbita. Plast Reconstr Surg 110:278, 2002
Knize DM: Limited incision forehead lift for eyebrow elevation to enhance upper blepharoplasty. Plast Reconstr Surg 108:564–567, 2001
Knize DM: The forehead and temporal fossa. Lippincott Williams &Wilkins: Baltimore, 2001
Owsley JQ: Resection of the prominent lateral fat pad during upper lid blepharoplasty. Plast Reconstr Surg 66:165, 1980
Roberts TL III: Laser blepharoplasty and laser resurfacing of the periorbital area. Clin Plast Surg 25:95, 1998
Rohrich RJ, Coberly DM, Fagien S, et al: Current concepts in aesthetic upper blepharoplasty. Plast Reconstr Surg 113:32e–42e, 2004
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Gulyás, G. Improving the Lateral Fullness of the Upper Eyelid. Aesth Plast Surg 30, 641–648 (2006). https://doi.org/10.1007/s00266-005-0120-2
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DOI: https://doi.org/10.1007/s00266-005-0120-2