J Korean Soc Aesthetic Plast Surg.  2009 Mar;15(1):82-84.

Experiences in Excessive Fat Survival after Fat Graft in Upper Eyelid

• Kim DK
• Hong SH
• Hong SE

Abstract

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.

Keyword

Eyelids; Graft; Subcutaneous fat; Blepharoplasty