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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.


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1. Incision made through conjunctiva

2. Eyelid orbital fat exposed

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3. Creation of uniform fat flap

4. Orbital septum opened at arcus

5. Creation of periosteal pocket over bone

6. Sutures in fat to be repositioned

7. Suture needle passing into periosteal pocket

8. Suture needle exiting skin surface

 




9. Fat repositioned onto upper cheek




10. Sutures tied

Surgery by Dr. Frank Meronk

 

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