Fat-conserving aesthetic lower blepharoplasty

OBJECTIVE: To evaluate a variation on lower eyelid fat-conserving blepharop lasty as a treatment for several facets of periorbital aging, especially ey elid fat protrusion and skeletonization of the inferior orbital rim. PATIENTS AND METHODS: Retrospective review of 14 consecutive patients at an academic center who underwent fat-conserving lower blepharoplasty over an 8-month period. Independent evaluation of surgical success was performed by two experienced surgeons. RESULTS: skeletonization of the inferior orbital rim in 13 of 14 cases, and was moderately effective at correction of lower eyelid fat protrusion and wrinkles. There were no complications. CONCLUSION: Fat-conserving lower blepharoplasty is a safe and effective sur gical technique for reduction of visibility of the bony orbital rim and can complement other procedures used to improve signs of aging in the periorbi tal region.