J Korean Ophthalmol Soc.  2013 Apr;54(4):562-567. 10.3341/jkos.2013.54.4.562.

Analysis of Upper Eyelid Fat Pad Changes with Aging and Body Mass Index in Korean

• Ahn JM
• Lee H
• Kim JW
• Jang MW
• Lee TS
• Baek SH

• KMID: 2216935
• DOI: http://doi.org/10.3341/jkos.2013.54.4.562

Abstract

PURPOSE
To evaluate differential changes in the central and nasal fat pads of the upper eyelid associated with aging and the effect of body mass index in Koreans.
METHODS
Using a standardized scale, the volume grade of the central and nasal fat pads was graded from 0 to 3 (0 for depressed, 1 for flat, 2 for mildly protruded, and 3 for markedly protruded) in normal adults, consisting of 20 males and 20 females from 30 years of age to 80 years of age. The body mass index was calculated for every patient through interviews using their height and weight. Statistical evaluations correlating age and body mass index with central and nasal fat pad changes were performed. Statistical evaluations correlating age with fat pad changes except for the effect of body mass index were performed.
RESULTS
Except for the effect of body mass index, the central fat pad increased (r = -0.176, p = 0.007) and nasal fat pad decreased (r = 0.252, p < 0.001) with aging, which was statistically significant.
CONCLUSIONS
With aging, the central fat pad increases and nasal fat pad decreases in the upper eyelid. Clinically, this finding has implications in cosmetic and functional upper eyelid blepharoplasty. In addition, the results may be useful to determine whether to conserve or remove the fat as well as the amount of fat removal during upper blepharoplasty.

Keyword

Age; Blepharoplasty; Body mass index; Fat; Upper eyelid

MeSH Terms

Adipose Tissue
Adult
Aging
Blepharoplasty
Body Mass Index
Cosmetics
Eyelids
Female
Humans
Male
Cosmetics

Figure

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  Figure 1. Volume grade of the central fat pad.

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  Figure 2. Volume grade of the nasal fat pad.

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  Figure 3. Chages of upper eyelid fat pad with aging.

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  Figure 4. Changes of upper eyelid fat pad with the effect of BMI.

Reference

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