Use of tisseel in lower eyelid blepharoplasty with fat repositioning

Abstract

The use of orbital fat pedicles as a filler is gaining in popularity. The use of fat transposition can be incorporated with both transcutaneous and transconjunctival approaches to the lower eyelid. In either case, a preseptal approach is utilized to expose the arcus marginalis along the entire inferior orbital rim. Tisseel (fibrin sealant) (Baxter Corporation, Ontario, Canada) is used to secure the fat into position. Hemostasis is confirmed within the subperiosteal pocket.