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.