| Periorbital Rejuvenation to Improve the Negative Vector With Blepharoplasty and Fat Grafting in the Malar Area. | |
| | |
MedLine Citation:
|
PMID: 21804434 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE:: Periorbital rejuvenation is not achieved by upper and lower blepharoplasty alone; the presence of malar atrophy and the excessive length of the lower eyelid may change the face's oval shape, with the progressive formation of the negative vector. We describe our technique combining blepharoplasty and malar fat grafting to reverse the negative vector. METHODS:: After thorough anamnesis, we perform the blepharoplasty and canthopexy if necessary. In the upper blepharoplasty, we do not extirpate muscle, and in the lower blepharoplasty, we extirpate the fat pads via the transconjunctival route. In the case of excess skin, we prefer to perform skin pinching without resecting muscle, followed by a canthopexy. We then perform malar fat grafting by using fat obtained with low to moderate-pressure aspiration and centrifugation, injected with criss-cross tunnels in the malar region with a volume of 7 to 12 cm of fat on each side. RESULTS:: Between 2006 and 2010, we operated on 142 female patients (age range, 45-74 years). The follow-up period was 2 years. In patients with "good fat quality" (n = 129), the results at 24 months were "excellent" in 93.79% of cases, "good" in 3.8%, and "fair" in 2.32%. The medical team's ratings were "excellent" in 97.6% of cases and "good" in 2.3%. In patients with "poor fat quality" (n = 13) at 12 months, a high percentage of the injected fat had been reabsorbed. The application of high-density hyaluronic acid was recommended (16). CONCLUSION:: Periorbital rejuvenation is a part of integral facial rejuvenation and is achieved only if, in addition to the blepharoplasty, the negative vector is also corrected. With the technique of malar fat grafting, we achieve very good remodeling of the oval face shape, correct the negative vector, and shorten the height of the eyelid; the preadipocytes improve the tissue quality, especially in the skin. |
| | |
Authors:
|
Jose M Serra-Renom; Jose M Serra-Mestre |
Related Documents
:
|
21332274 - Prevalence of low high-density lipoprotein cholesterol (hdl-c) as a marker of residual ... 20808764 - Identifying molecular effects of diet through systems biology: influence of herring die... 21471824 - Comparison of the effects of surgical and natural menopause on epicardial fat thickness... 11850744 - Chronic central infusion of cocaine- and amphetamine-regulated transcript (cart 55-102)... 8121294 - Substrate utilization in man: effects of dietary fat and carbohydrate. 8584454 - Effect of fish oil on the development of aom-induced glutathione s-transferase placenta... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-7-29 |
Journal Detail:
|
Title: Ophthalmic plastic and reconstructive surgery Volume: - ISSN: 1537-2677 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-8-1 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Institute of Aesthetic and Plastic Surgery Dr. Serra-Renom. Hospital Quiron Barcelona, Universitat Internacional de Catalunya, Barcelona, Spain. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Primary Dermatofibrosarcoma Protuberans Invading the Orbit.
Next Document: Quantification of Non-Polar Lipid Deposits on Senofilcon A Contact Lenses.