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Journal of the Korean Society for Aesthetic Plastic Surgery 2009;15(1):82-84.
Published online March 1, 2009.
Experiences in Excessive Fat Survival after Fat Graft in Upper Eyelid.
Dong Kyu Kim, Sung Hee Hong, Seung Eup Hong
1Department of Plastic and Reconstructive Surgery, College of Medicine, Eulji University, Seoul, Korea. hsh2505@eulji.ac.kr
2Hong Seung Eup Plastic Surgery Clinic, Seoul, Korea.
Soft tissue augmentation with autologous fat graft is a popular procedure in plastic surgery. Some surgeons usually graft more than necessary amount of fat, because of possible absorption of grafted fat. In case of upper eyelid, however, the volume of grafted fat can increase with weight gain or survive for a long time. The purpose of this report is to introduce our experiences in excessive fat survival in upper eyelid and how to manage it. From March 1999 to September 2006, we grafted autologous fat to fifteen of thirty six patients during secondary blepharoplasty. The fat graft was harvested from axilla. Follow-up ranged from 3 months to 4 years. Some of them had excessive fat survival in the upper eyelid after fat graft, therefore, a part of the fat was removed for natural appearance. In case of upper eyelid, the volume of grafted fat can increase with weight gain or survive for a long period of time, therefore, surgeons have to graft a minimum amount of fat without overcorrection and correct excessive fat by removing part of it or by liposuction after injection of hyaluronidase.
Key Words: Eyelids, Graft, Subcutaneous fat, Blepharoplasty
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