Correction of Sunken upper Eyelids Using Autologous Microfat Graft

ABSTRACT

The amount of the soft tissue of upper eyelids is aesthetically important. The soft tissue of thick eyelids need to be removed, whereas the sunken eyelids need to be augmented. The sunken eyelids make someone look older and more tired. The aesthetical use of the autologous fat has been advocated for tissue augmentation for over a century and microfat graft is a popular procedure to augment the soft tissue. We had corrected the sunken eyelids of 11 patients without any history of aesthetical surgery or trauma of upper eyelids using autologous microfat graft. The fat had been harvested from periumbilical area, centrifuged at 3000rpm for 3 minutes. The middle fat tissue layer was obtained using 1cc syringe and injected in the upper eyelids. All procedures were performed under local anesthesia. There were no major complications except undercorrection in two cases. Though survival rate of injected microfat is variable, it is predictable in upper eyelid compare to other areas. As a result, autologous microfat graft should be considered as a good choice for correction of sunken eyelids.