Lower Eyelid and Midface Rejuvenation : Suborbicularis Oculi Fat Lift - 25/09/21

Doi : 10.1016/j.fsc.2021.06.003

Han-Tsung Liao, MD, PhD ^a,^b,^c,^d,^⁎
^a Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan
^b Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine
^c Chang Gung University, Taoyuan, Taiwan
^d Department of Plastic Surgery, Xiamen Chang Gung Memorial Hospital, China

^∗Corresponding author. Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5 Fuxing Street, Taoyuan 333, TaiwanDivision of Trauma Plastic SurgeryDepartment of Plastic and Reconstructive SurgeryCraniofacial Research CenterChang Gung Memorial HospitalCollege of MedicineChang Gung University5 Fuxing StreetTaoyuan 333Taiwan

Résumé

The lower eyelids and midface are considered to be a contiguous aesthetic unit although they are different anatomic structures. Through in-depth understanding of complex anatomy and aging theory and appropriate surgical strategies according to the type of aging, surgical outcome of aging lower eyelid/midface can be more and more predictable. This article discusses the characteristics and theories of aging and 5 types of lower eyelid/middle face aging based on 4 key factors, namely, protruding fat in the orbital, excess skin on the lower eyelid, sagging midface and soft tissue deflation. Various combinations of surgical strategies are adopted accordingly.

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Keywords : Lower eyelid surgery, Midface lift, SOOF lift, Fat grafting