IN THIS issue of the ARCHIVES, Baker1 presents an excellent historical background and a thorough overview of the anatomical and theoretical concerns regarding fat preservation as a method to rejuvenate the lower eyelid/midface complex. He discusses 2 methods of fat redistribution: (1) repositioning,2 which involves repositing prolapsed fat into the orbit to replace lower eyelid fat behind the orbital rim, and (2) mobilization,3 which refers to the arcus marginalis release with draping of lower eyelid fat over the inferior orbital rim such that it fills the existing subrim area where soft tissue is scant. Baker then presents his experience with fat mobilization in lower eyelid blepharoplasties performed by both the transcutaneous and the transconjunctival methods. He does not describe his experience with fat repositioning (repositing).
Shorr N, Hoenig JA, Goldberg RA, Perry JD, Shorr JK. Fat Preservation to Rejuvenate the Lower Eyelid. JAMA Facial Plast Surg. 1999;1(1):38-39. doi:10.1001/archfaci.1.1.38