Application of Orbital Septal Fat Repositioning Combined With SVF-Gel Fillers in Lower Blepharoplasty.

Early human evidence such as case series or small samples is exploring possible benefits.

• Level A · Stronger Clinical Evidence
• Level B · Emerging clinical evidence with positive signals
• Level C · Early human research exploring benefits
• Level D · Scientific groundwork from lab and animal studies
• Emerging · Emerging topic under active research

Abstract (original English)

Background Lower blepharoplasty is a widely used cosmetic surgical procedure to improve under-eye bags and tear trough deformities, aiming to enhance facial aesthetics and achieve a more youthful appearance. The formation of these deformities is often associated with factors such as aging, skin laxity, and fat displacement. Traditional surgical methods include orbital septal fat repositioning and fat grafting, each with its own advantages and limitations. Transconjunctival blepharoplasty avoids external incisions by performing the surgery through the conjunctiva, thereby reducing postoperative scarring and recovery time. However, orbital septal fat repositioning alone is often insufficient to completely address issues of inadequate orbital septal fat and lax tear trough ligaments. Therefore, a combined approach of orbital septal fat repositioning and SVF-gel injection has been proposed to achieve more lasting and satisfactory results. Objective This study aims to investigate the advantages and rationality of combining orbital septal fat repositioning with SVF-gel injection in lower blepharoplasty, to assess the improvement in tear trough deformities and lower eyelid skin quality, to define its indications, and to achieve personalized treatment. Methods This study involved 42 patients who underwent transconjunctival blepharoplasty combined with fat repositioning and SVF-gel inje

Evidence level

Early human evidence such as case series or small samples is exploring possible benefits.

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