Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty because surgeons recognize the failure of fat removal to address the tear trough deformity.1- 4 Analogous to addressing brow ptosis when considering upper eyelid blepharoplasty, patients who present with requests for lower eyelid rejuvenation most often have accompanying midface descent.
Archibald DJ, Farrior EH. Fat Repositioning in Lower Eyelid Blepharoplasty. JAMA Facial Plast Surg. 2014;16(5):375-376. doi:10.1001/jamafacial.2014.156