Correction of Sunken Upper Eyelid with Orbital Fat Transposition Flap and Dermofat Graft

A sunken upper eyelid is a commonly found deformity among Asians, mostly due to the aging process and to excessive orbital fat removal during Oriental blepharoplasty procedures. This deformity is frequently accompanied by multiple, poorly defined upper eyelid folds and blepharoptosis. To date, autologous fat graft has been the treatment of choice for this group of patients. However, accurate placement of the graft in the orbital fat is quite challenging, and it can result in contour irregularities when injected into the preseptal plane.

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