Nasal Fat Preservation in Upper Eyelid Blepharoplasty

Abstract

Volume loss and the value of fat preservation in lower blepharoplasty are well-documented and accepted among eyelid surgeons. The affect of iatrogenic volume depletion in upper eyelid blepharoplasty, while understood, has gained less attention. Repositioning the prominent nasal fat pad of the upper eyelid to the central sulcus adds little time to surgery, allows preservation of upper eyelid fat during surgery, and may be a useful adjunct to the upper blepharoplasty surgeon. While further studies are needed to more critically assess eyelid volumetric changes, this technique holds promise as a preventative measure for superior sulcus hollowing after surgery.