Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, University of Texas Medical School at Houston, Houston.
Despite recommendations in the literature to perform conservative fat resection in lower blepharoplasty, patients are still seen postoperatively with tear trough deformities that can give a “tired” appearance. In these patients, the loss of orbital fat results in loss of support for the globe and a prominent infraorbital rim.1 Revision blepharoplasty is complex, since autologous fat is not available for repositioning in the lower eyelids.
Kridel RWH, Sturm-O’Brien AK. Acellular Dermal Grafts for Tear Trough Deformity in Revision Lower Blepharoplasty. JAMA Facial Plast Surg. 2013;15(3):232-234. doi:10.1001/jamafacial.2013.783