Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour
Background Mid-facial aging is associated with various changes, particularly around the lower eyelid, where these changes manifest as herniation of orbital fat, sagging of soft tissue around the zygoma, and the tear trough deformity. We improved the lower eyelid contour via transconjunctival orbital...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2020-04-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2020-02068.pdf |
| _version_ | 1811331586858156032 |
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| author | Bong Moo Lee Joo Hyuk Park Dae Hwan Park Jeong Su Shim Yong Jig Lee Seung Eun Kim |
| author_facet | Bong Moo Lee Joo Hyuk Park Dae Hwan Park Jeong Su Shim Yong Jig Lee Seung Eun Kim |
| author_sort | Bong Moo Lee |
| collection | DOAJ |
| description | Background Mid-facial aging is associated with various changes, particularly around the lower eyelid, where these changes manifest as herniation of orbital fat, sagging of soft tissue around the zygoma, and the tear trough deformity. We improved the lower eyelid contour via transconjunctival orbital fat removal and the use of either an autologous fat graft or filler injection. Methods Between June 2016 and July 2018, 100 patients aged 23–48 years underwent autologous fat grafts (group A: 50 patients, 100 eyes) or filler injections (group B: 50 patients, 100 eyes). The mean follow-up period was approximately 3 months. The results of surgery were evaluated using a visual analog scale (VAS) to assess patient satisfaction and with preoperative and postoperative scores determined by three plastic surgeons according to the grading system for lower eyelid contour deformity devised by Barton et al. Results The mean VAS score was 8.48 in group A and 8.92 in group B, but the difference was not statistically significant. The percentage of postoperative improvement from preoperative grade I deformity to grade 0 was 97.7% in group A and 100% in group B. The percentage of improvement from preoperative grade II deformity to grade 0 was 96.0% in group A and 96.1% in group B, and the percentage of improvement from grade III deformity to grade 0 in was 66.7% in group A and 75% in group B. Conclusions Filler injection can be an alternative to fat grafting for improvement of the lower eyelid contour after transconjunctival orbital fat removal. |
| first_indexed | 2024-04-13T16:22:57Z |
| format | Article |
| id | doaj.art-64a76dcac8e6454ca9fb7ae9621ae490 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-04-13T16:22:57Z |
| publishDate | 2020-04-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-64a76dcac8e6454ca9fb7ae9621ae4902022-12-22T02:39:49ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372020-04-01262475210.14730/aaps.2020.02068697Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contourBong Moo Lee0Joo Hyuk Park1Dae Hwan Park2Jeong Su Shim3Yong Jig Lee4Seung Eun Kim5 Lift Plastic Surgery Clinic, Daegu, Korea Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, KoreaBackground Mid-facial aging is associated with various changes, particularly around the lower eyelid, where these changes manifest as herniation of orbital fat, sagging of soft tissue around the zygoma, and the tear trough deformity. We improved the lower eyelid contour via transconjunctival orbital fat removal and the use of either an autologous fat graft or filler injection. Methods Between June 2016 and July 2018, 100 patients aged 23–48 years underwent autologous fat grafts (group A: 50 patients, 100 eyes) or filler injections (group B: 50 patients, 100 eyes). The mean follow-up period was approximately 3 months. The results of surgery were evaluated using a visual analog scale (VAS) to assess patient satisfaction and with preoperative and postoperative scores determined by three plastic surgeons according to the grading system for lower eyelid contour deformity devised by Barton et al. Results The mean VAS score was 8.48 in group A and 8.92 in group B, but the difference was not statistically significant. The percentage of postoperative improvement from preoperative grade I deformity to grade 0 was 97.7% in group A and 100% in group B. The percentage of improvement from preoperative grade II deformity to grade 0 was 96.0% in group A and 96.1% in group B, and the percentage of improvement from grade III deformity to grade 0 in was 66.7% in group A and 75% in group B. Conclusions Filler injection can be an alternative to fat grafting for improvement of the lower eyelid contour after transconjunctival orbital fat removal.http://e-aaps.org/upload/pdf/aaps-2020-02068.pdfeyelidscosmetic techniquesskin aginghyaluronic acid |
| spellingShingle | Bong Moo Lee Joo Hyuk Park Dae Hwan Park Jeong Su Shim Yong Jig Lee Seung Eun Kim Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour Archives of Aesthetic Plastic Surgery eyelids cosmetic techniques skin aging hyaluronic acid |
| title | Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| title_full | Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| title_fullStr | Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| title_full_unstemmed | Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| title_short | Comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| title_sort | comparison of outcomes between simultaneous fat grafting and filler injection with transconjunctival fat removal for improvement of the lower eyelid contour |
| topic | eyelids cosmetic techniques skin aging hyaluronic acid |
| url | http://e-aaps.org/upload/pdf/aaps-2020-02068.pdf |
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