Aesthetic

Eyelid

Correction of Nasojugal Groove With Tunnelled Fat Graft

de la Cruz L, Berenguer B, García T (Madrid, Spain) Aesthetic Surg J 29:194-198, 2009^§

Abstract

Background

Pronounced nasojugal sulcus (tear trough deformity) is a frequent and distressing symptom in aesthetic palpebral surgery. The sliding fat technique using the transcutaneous or transconjunctival approach has proven to be considerably useful in patients with clinically evident fat bags. In the absence of fat bags, commonly used techniques can lead to unpredictable (and frequently less than optimal) results.

Objective

The authors report their experience with correcting the nasojugal groove in the absence of palpebral fat bags by use of a one-piece, free fat graft as an alternative to autologous fat injections or the placement of alloplastic materials.

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