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Pier Camillo Parodi, Fabrizio De Biasio, Roberto Pizzamiglio, Gloria Semprini, Marco Zeppieri; Rejuvenation Of The Periorbital Region Using Fat Grafts. Invest. Ophthalmol. Vis. Sci. 2011;52(14):1076.
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To assess augmentation of specific periorbital fat pads based on anatomic quantitative and qualitative studies on cadavers. The aim of periorbital fat injection treatment was to restore a youthful facial appearance, thus past photographs were used to assess the type of facial aging changes over time to determine the specific periorbital regions to be treated and the amount of fat to be injected.
Anatomic studies were preformed on the heads of four cadavers to evaluate the site and the dimensions of periorbital fat pads and the correlation between them. Different quantities of saline solution were then injected in all periorbital fat pads to assess the specific changes induced in the facial appearance. The results from the cadaver model were then used in treating 21 patients (mean age 57±12 years; 2 male, 19 female) with fat injections in specific periorbital fat pads. Patient photos at the age of about 20 years (mean age of past photos 19±4 years) compared to current photos were used to determine the quantity and location of periorbital fat pad injections.
The fat pads mostly involved in lower eyelid aging included deep cheek, superficial cheek and sub-orbicularis (SOOF). The fat pad mostly involved in upper eyelid and brow aging was the retro-orbicularis fat pad (ROOF).
It is essential to have a good knowledge of the anatomy of the periorbital fat pads when performing facial rejuvenation utilizing lipofilling techniques. Past photos of patients at a younger age can be helpful in selecting which periorbital fat pads to be filled and the amount of augmentation needed to restore a youthful natural facial appearance.
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