15 Years of Upper Eyelid Micro-fat Graft: the Good, the Bad and the Ugly

Aesthetic Plast Surg. 2021 Jun;45(3):1035-1046. doi: 10.1007/s00266-020-01946-1. Epub 2020 Sep 17.

Abstract

This report is the product of investigation to review the result of Micro-fat graft (MFG) for upper eyelid rejuvenation compelled by Dr. Mark Codner and discusses the variety of suboptimal outcomes and rationale for their occurrence.

Methods: This retrospective review included 1047 patients who underwent upper eyelid rejuvenation between 2001 and 2016.

Results: The follow-up ranged from 3 to 190 months. Twenty-one patients were judged to have bad outcomes, and on four patients, the results were categorized as "ugly". These undesirable outcomes are categorized and discussed.

Conclusion: This report documents a variety of poor outcomes and the rationale for their development over a long-term follow-up and discusses the way in which these can be minimized.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Blepharoplasty; Cosmetic; Fat injection; Lipofilling; Micro fat graft; Oculoplastic surgery.

MeSH terms

  • Blepharoplasty*
  • Esthetics
  • Eyelids / surgery
  • Humans
  • Rejuvenation
  • Retrospective Studies