Skip to main content

Advertisement

Log in

Autologous Fine Particles Fat Filling Under Direct Vision in the Repair of Sunken Upper Eyelid After Double Eyelid Surgery

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

Abstract

Background

To explore the clinical effect of filling the preaponeurotic fat with autologous fine particles fat under direct vision to correct the sunken upper eyelid after double eyelid surgery.

Methods

From June 2017 to May 2020, 134 cases of sunken upper eyelid after double eyelid surgery were treated by sharp needle injection of autologous fine particles fat under direct vision, and the surgical effect of each case was analyzed and evaluated.

Results

The sunken upper eyelid was corrected, the appearance was satisfactory, the shape was in good state, and there was no lump and obvious displacement of the transplanted fat. And in the sunken upper eyelid group after double eyelid surgery, 5 patients had severe upper eyelid adhesions and lost plenty of preaponeurotic fat; among them, 4 patients underwent secondary repair surgery, and one did not.

Conclusion

The sharp needle injection method of filling autologous fat in the preaponeurotic fat under direct vision can accurately correct the sunken upper eyelid and replenish the preaponeurotic fat. The positioning is accurate, the filling amount is easy to control, and the transplanted fat particles survive well.

Level of evidence IV

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Camirand A, Doucet J, Harris J (2005) Eyelid aging: the historical evolution of its management. Aesthetic Plast Surg 29:65–73

    Article  Google Scholar 

  2. Romeo F (2016) Upper eyelid filling with or without surgical treatment. Aesthet Plast Surg 40:223–235

    Article  Google Scholar 

  3. Locke MB, Chalain TM (2008) Current practice in autologous fat transplantation: suggested clinical guidelines based on a review of recent literature. Ann Plast Surg 60:98–102

    Article  CAS  Google Scholar 

  4. Coleman SR (2006) Structural fat grafting: more than a permanent filler. Plast Reconstr Surg 118(3 Suppl):108S-120S

    Article  CAS  Google Scholar 

  5. Jeon MS, Jung GY, Lee DL et al (2015) Correction of sunken upper eyelids by anchoring the central fat pad to the medial fat pad during upper blepharoplasty. Arch Plast Surg 42:469–474

    Article  Google Scholar 

  6. Park JI (1999) Orbicularis-levator fixation in double-eyelid operation. Arch Facial Plast Surg 1:90–95

    Article  CAS  Google Scholar 

  7. Kakizaki H, Takahashi Y, Nakano T et al (2012) The causative factors or characteristics of the Asian double eyelid: an anatomic study. Ophthal Plast Reconstr Surg 28:376–381

    Article  Google Scholar 

  8. Wattanakrai K, Chiemchaisri N, Wattanakrai P (2016) Secondary blepharoplasty: correction of the high fold. Aesthetic Plast Surg 40:914–920

    Article  Google Scholar 

  9. Liew S, Nguyen DQ (2011) Nonsurgical volumetric upper periorbital rejuvenation: a plastic surgeon’s perspective. Aesthetic Plast Surg 35:319–325

    Article  Google Scholar 

  10. Zielins ER, Brett EA, Longaker MT et al (2016) Autologous fat grafting: the science behind the surgery. Aesthet Surg J 36(4):488–496

    Article  Google Scholar 

  11. Carpaneda CA, Ribeiro MT (1993) Study of the histologic alterations and viability of the adipose graft in humans. Aesth Plast Surg 17(1):43–47

    Article  CAS  Google Scholar 

  12. Lee W, Kwon SB, Oh SK, Yang EJ (2017) Correction of sunken upper eyelid with orbital fat transposition flap and dermofat graft[J]. J Plast Reconstr Aesthet Surg 12:1768–1775

    Article  Google Scholar 

  13. Sozer SO, Agullo FJ, Palladino H, Payne PE, Banerji S (2010) Pedicled fat flap to increase lateral fullness in upper blepharoplasty. Aesthet Surg J 30:161–165

    Article  Google Scholar 

  14. Lin TM, Lin TY, Huang YH et al (2016) Fat grafting for recontouring sunken upper eyelids with multiple folds in asians- novel mechanism for neoformation of double eyelid crease. Ann Plast Surg 76:371–375

    Article  CAS  Google Scholar 

  15. Lin TM, Lin TY, Chou CK, et al (2014) Application of microautologous fat transplantation in the correction of sunken upper eyelid. Plast Reconstr Surg Glob Open. 2(11):e259

  16. Park SK, Kim BG, Shin YH (2011) Correction of superior sulcus deformity with orbital fat anatomic repositioning and fat graft applied to retro-orbicularis oculi fat for asian eyelids. Aesth Plast Surg 35:162–170

    Article  Google Scholar 

  17. Carpaneda CA, Ribeiro MT (1994) Percentage of graft viability versus injected volume in adipose autotransplants. Aesth Plast Surg 18(1):17–19

    Article  CAS  Google Scholar 

Download references

Funding

This study received no funding from any source.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cheng Zhang.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hou, J., Zhang, C. & Liu, C. Autologous Fine Particles Fat Filling Under Direct Vision in the Repair of Sunken Upper Eyelid After Double Eyelid Surgery. Aesth Plast Surg 46, 1253–1258 (2022). https://doi.org/10.1007/s00266-021-02721-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-021-02721-6

Keywords

Navigation