Internal Fat Repositioning and Fat Grafting
for Correction of Upper Eyelid
Hollowness and Crease Asymmetry
(Surgery performed by Dr. Frank Meronk)
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Asian patient with marked crease asymmetry
(no previous eyelid surgery)
One upper eyelid demonstrates multiple faint "pseudo-creases" and a high superior sulcus defect (hollowness). The lid is deficient in fat.
In contrast, the other upper eyelid shows abundant fullness and a low natural crease.
Surgery was undertaken to:
• Create better-defined symmetrical creases
• Correct hollowness
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Excess fat obtained from the opposite eyelid is shown being held by forceps just above its intended new position.
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A dissection carried upwards has exposed the deep orbital fat, which has been mobilized and advanced downward into the hollowed eyelid with its blood supply left intact.
The edges of the graft and natural orbital fat are shown being sutured together to create a single smooth plane of tissue with a rich circulation.
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The composite new fat layer has been advanced into position and sutured to the underlying tissues to add fullness to the hollowed eyelid.
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Double-eyelid crease formation was then undertaken using a technique similar to that shown elsewhere.
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* * *
Before
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Four Days After Surgery
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Six Months After Surgery
(Note: These and similar techniques may also be used to address post-blepharoplasty hollowness from excessive fat removal in both Asian and Occidental eyelids.)
More Examples of Complex Asian Eyelid Revision
Caution: Actual Surgery Photos
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Crease high, hollowed, and asymmetric
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