Small Incision Upper Orbital Fat Grafting

Based on the experience gained from hundreds of orbital pearl and strip fat grafting operations performed over the past four years, we have developed an approach for treating upper eyelid hollowness that allows for restoration of orbital volume through a single 1/2 inch skin incision.

The advantages of a small incision approach include:

markedly less skin disruption
less trauma to the orbicularis muscle and orbital septum
more accurate intraoperative assessment of implant volume
more accurate intraoperative distribution of implanted fat
ability to add more volume than with a strip fat technique
less postoperative swelling
shorter recovery time
small hidden external scar

Since many patients with upper eyelid hollowness have undergone previous blepharoplasty, minimizing additional trauma to the eyelid's already disturbed external and internal anatomy is clearly desirable.



Because less tissue disruption tends to correlate with reduced postoperative swelling and bruising, conditions are more favorable for successful revascularization and "take" of the grafted fat.

While the small incision approach has become our technique of choice in most patients with upper orbital hollowness, it cannot be applied in all cases. Some patients who have already undergone multiple previous operations, require skin adjustment or reconstruction of the crease, or suffer from very deep hollowness may not be ideal candidates.


"Small incision" should not be confused with "minimally invasive." As with our earlier methods, structurally-intact fat is still grafted into the same deep anatomic compartment across the full length of the lid.

Orbital Fat Grafting FAQs


Orbital Fat Grafting
Solutions for Eyelid Hollowness and Collapse



Overview
Socket Fat and the "Orbital Flat Tire"


Upper Eyelid Hollowness | Lower Eyelid Hollowness
Upper Cheek Hollowness | Preventable Causes

Treatment Options - An Introduction
Is Fat Injection the Same as Fat Grafting?

Pearl Fat Grafting | Strip Fat Grafting
Combination Strip-Pearl Fat Grafting Technique
Small Incision Approach

Lid-to-Lid Fat Transfer | Internal Fat Repositioning
Dermal Fat Grafts | Fat Injection | Dermal Fillers

Hollowness and Brow Lift | Doll's Eye Deformity
Hollowness in the Asian Upper Eyelid


Healing and Recovery

Removal of Excess Grafted Fat | Dark Circles
What is Meant By Under-Eye Hollows?
Pertinent Anatomy: Diagrams & Definitions


Orbital Fat Grafting FAQs

Surgery Photographed:
Lower Hollowness: Orbital Pearl Fat Grafting
Upper Hollowness: Orbital Strip Fat Grafting
Advanced Upper Hollowess: Combination Strip-Pearl Approach
Upper Hollowness: Internal Repositioning


That Tiny Roll of Upper Eyelid Skin (video)

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