Meronk - Lower Eyelid Fat Repositioning in Photos

Lower Eyelid Fat Repositioning
Through Transconjunctival Incision

also known as "arcus marginalis release"

Actual surgery photos

Note: The following is provided for archival purposes and because this procedure is still in wide use elsewhere. We currently feel that orbital fat is best left undisturbed in its natural location.



1. Incision made through conjunctiva	2. Eyelid orbital fat exposed

3. Creation of uniform fat flap	4. Orbital septum opened at arcus marginalis

5. Creation of periosteal pocket over bone	6. Sutures placed in fat to be repositioned

7. Suture needle passing into periosteal pocket	8. Suture needle exiting on skin surface

9. Fat repositioned onto upper cheek	10. Sutures tied

Surgery performed by Dr. Frank Meronk


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