Correction of Sunken Eyelid with Unfavorable Fold Using Autologous Fat Injection.

Kwon, Seok Min; Park, Jun; Yang, Won Yong; Yoo, Young Cheun; Kang, Sang Yoon

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(4):471-479.
Published online July 1, 2008.

Correction of Sunken Eyelid with Unfavorable Fold Using Autologous Fat Injection.

Seok Min Kwon, Jun Park, Won Yong Yang, Young Cheun Yoo, Sang Yoon Kang

¹Department of Plastic and Reconstructive Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. psyang@khmc.or.kr
²Starline Plastic Surgery Clinic, Seoul, Korea.
³Art Plastic Surgery Clinic, Seoul, Korea.

Abstract

PURPOSE
Sunken eyelid is a deformity of upper eyelid due to atrophy of periocular fat tissue, loss of skin elasticity. It causes the skin retraction of eyelid and unfavorable fold. Sunken eyelid occurs from the results of natural aging process, facial trauma, complication of previous periocular surgery, etc. We acquired a satisfied correction of sunken eyelid and unfavorable fold using autologous fat injection only. The aim of this study is a assessment of autologous fat injection for correction of sunken eyelid accompanied with unfavorable fold. METHODS: From August 2002 to March 2006, we performed 37 cases of correction of sunken eyelid with unfavorable fold using autologous fat injection. They were all females with ages ranged from 23 to 63. Fat was harvested from lower abdomen and centrifuged with Coleman system. Multi-layered injection of purified fat was done from orbital fat layer to orbicularis oculi muscle.
RESULTS
Overall, improvement of sunken eye and unfavorable fold was observed in the majority of the patients. Discomfort of eye opening was improved in 24 patients. The average injection volume was 1.33mL in right eyelid, 1.31mL in left eyelid at first injection. Second injection was done in patients who absorption of injected fat was noted with. No specific complications were observed.
CONCLUSION
Natural and attractive upper eyelid was acquired from fat injection only in sunken eyelid with unfavorable fold. To the authors' knowledge, it is desirable for sunken eyelid accompanied with unfavorable fold to be treated with autologous fat injection at first. Although some shortcomings are substantial, autologous fat injection is easy and effective method for correction of unfavorable fold in sunken eyelid without specific complication.

Keywords: Autologous fat injection; Sunken eyelid; Unfavorable fold

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