• Treatment of the protruding fat pads in the lower blepharoplasty is a problem for most surgeons performing this procedure. The problems usually encountered are reviewed, the lid anatomy discussed, and a method of correcting the defect without surgically interrupting the orbital septum is presented. Tightening of the orbital septum may be produced with proper application of electrosurgical current. A total of 364 cases have been done, with a maximum follow-up of 42 months. Results show that this provides a safe and effective method of achieving the desired improvement in the bulging lower lid.
(Arch Otolaryngol 1984;110:521-524)
Cook TA, Derebery J, Harrah ER. Reconsideration of Fat Pad Management in Lower Lid Blepharoplasty Surgery. Arch Otolaryngol. 1984;110(8):521–524. doi:10.1001/archotol.1984.00800340033008
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