Clinical effect of modified autogenous fat grafting for sunken upper eyelid / 中华医学美学美容杂志

ABSTRACT

Objective:To study the clinical effect of modified autogenous fat grafting for sunken upper eyelid in order to simplify surgical methods and to reduce complications.Methods:From January 2014 to May 2018, fifty-five patients with sunken upper eyelid were enrolled in this study. The traditional autologous fat filling injection was modified in present study, and the previous injecting method of large columnar fat mass in the deep subcutaneous layer of upper eyelid was modified; instead, small fat particles were injected into the superficial layer of subcutaneous tissue. After treatment the clinical efficacy and complications were evaluated.Results:Fifty-five patients were followed up for more than eight months, among which forty-seven patients were satisfied with the results and the depression of upper eyelid was significantly improved. However, postoperative complications were found in seven patients, including three patients encountered asymmetry, three patients presented upper-eyelid swelling, one patient had a nodule in the eyelid, and one patient suffered both swelling and asymmetry. The complications rate was 14.5%.Conclusions:Modified autologous fat transplantation is an ideal method for cosmetic repair of sunken upper eyelid, which is easy to operate and can effectively reduce the incidence of complications. However, some complications such as swelling, asymmetry and nodule in the upper eyelid still occur occasionally.