Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty, according to a surgical pearls piece published online June 26 in JAMA Facial Plastic Surgery.
David J. Archibald, M.D., from the Center for Plastic Surgery at Castle Rock in Colorado, and Edward H. Farrior, M.D., from the Farrior Facial Plastic & Cosmetic Surgery Center in Tampa, Fla., advise surgeons on patient selection and surgical technique when using fat repositioning in lower eyelid blepharoplasty.
Comment: This validates what I have been doing now for over 8 years. Orbital fat preservation is now routine in my practice, however the recovery takes a bit longer but it is worth it. It is also possible to do a mid-face lift through the same lower lid incision.