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
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