Correction of superior sulcus deformity and dermatochalasis with autologous fat transferto retro-orbicularis oculi fat (ROOF) through upper blepharoplasty incision

Abstract

Objective To investigate an operative method of autologous fat transfer to retro-orbicularis oculi fat (ROOF) through upper blepharoplasty incision for correction of superior sulcus deformity and dermatochalasis, and to evaluate the efficacy and safety of the method. Methods ROOF lies in the lateral supraorbital area. Autologous fat transfer to ROOF through upper blepharoplasty incision was performed in patients selected by examination. The efficacy and safety were evaluated by follow-up study. Results From March 2013 to June 2017, 23 selected patients received the treatment with 3 months to 50 months (mean, 20.4 months) follow-up. The amount of fat graft for each palpebra was 0.6 to 2.0 ml, and the mean graft amount was 1.4 ml. The superior sulcus deformity improved significantly in 22 (95.7%) cases. All 23 cases achieved significant improvement of dermatochalasis. 22 (95.7%) cases were satisfied with the result. No major complications occurred. Conclusions Autologous fat transfer to ROOF through upper blepharoplasty incision is effective and safe in correction of superior sulcus deformity and dermatochalasis, The operative method should be a good choice for selected patients. Key words: Skin; Relaxation; Blepharoplasty; Autografts; Fat; Sunken; Retro-orbicularis oculus fat