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Buccal Fat Pad Transplantation for Correction of Asian Upper Eyelid Depression: A Clinical Study

  • Original Article
  • Oculoplastic
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Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Objectives

To investigate the effect of buccal fat pad transplantation in front of the aponeurosis to correct Asian upper eyelid depression.

Methods

Eighty-five individuals who were treated with buccal fat pad transplantation were recruited for this study. The upper eyelid depression data were collected before and after treatment, and the aesthetic outcomes were assessed using the Global Aesthetic Improvement Scale (GAIS) and the Likert scale.

Results

All patients obtained natural-looking eyelids, and the sunken contour deformity improved. The mean preoperative sunken depth was 6.7±1.0 mm (4–12 mm), and the mean sunken depth at the last follow-up was 4.2±0.9 mm (2–6 mm) (P <0.05). The visual analogue scale score was 2.12±1.75 (1–4) in the immediate postoperative period. The GAIS scores were satisfactory (very much improved, 89.4%; much improved, 7.1%; and improved, 3.5%). According to the Likert scale scores, all patients were satisfied with the clinical outcomes (excellent, 87.1%; very good, 9.4%; and good, 3.5%). A 'fair' or 'poor' result was not reported by any patient.

Conclusion

Buccal fat pad transplantation corrects upper eyelid depression in a simple, safe, and effective manner and can efficiently fill the depressed portion and restore a beautiful double eyelid.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgements

We thank Bullet Edits Limited for the linguistic editing and proofreading of the manuscript.

Funding

This research was funded by the National Natural Science Foundation of China (No.81971842), the Jilin Scientific and Technological Development Program (No.20200201371JC).

Author information

Author notes

  1. Yuxuan Dai and Yu Chen should be regard as co-first authors.

Authors and Affiliations

  1. Department of Plastic Surgery, China-Japan Union Hospital of Jilin University, 126 Xiantai street, Erdao District, Changchun, 130000, Jilin Province, People’s Republic of China

    Yuxuan Dai & Lianbo Zhang

  2. Division of Thyroid Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China

    Yu Chen

  3. Department of Plastic and Aesthetic Surgery, The Second Xiangya Hospital of Central South University, Changsha, 410011, China

    Yiming Hu

  4. Department of Plastic Surgery, Guangdong Hanfei Plastic Surgery Hospital, Guangzhou, 510030, China

    Xianglan Qin & Hongrui Yu

Authors
  1. Yuxuan Dai
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  2. Yu Chen
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  3. Yiming Hu
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  4. Xianglan Qin
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  5. Hongrui Yu
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  6. Lianbo Zhang
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Corresponding author

Correspondence to Lianbo Zhang.

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The authors declare that there are no conflicts of interest regarding the publication of this paper.

Human and animal rights

The hospital’s ethics committee approved this study.

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The patients provided written informed consent for using their images.

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Dai, Y., Chen, Y., Hu, Y. et al. Buccal Fat Pad Transplantation for Correction of Asian Upper Eyelid Depression: A Clinical Study. Aesth Plast Surg 47, 1441–1446 (2023). https://doi.org/10.1007/s00266-023-03259-5

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  • DOI: https://doi.org/10.1007/s00266-023-03259-5

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