Transconjunctival lower lid blepharoplasty with and without fat repositioning

Abstract

The emphasis in this chapter will be on the specific technique of fat repositioning. This is our preferred method of cosmetic lower lid rejuvenation as the incidence of lower lid hollowness (skeletonized look) is reduced. With aging, there is a change in the lower lid-cheek continuum. Lower lid fat becomes more prominent, and the cheek deflates and descends. This combination of changes leads to a groove overlying the inferior orbital rim, which is referred to as the tear trough. Often times, we add fat grafting to the lower lid hollows (to areas where we could not reposition fat) to augment the fat-repositioning result.