Fat is our friend: The use of adipose tissue in oculoplastic surgery
What:
Paper Presentation | Présentation d'article
Part of:
When:
4:17 PM, Friday 1 Jun 2018
(6 minutes)
Where:
Metro Toronto Convention Centre (South Building)
- Room 714 A
How:
Author: Patrick R. Boulos
Author Disclosure Block: P.R. Boulos: Major stock shareholder; Name of Commercial Company(s); Clinique O, Plastic and Esthetic Eye Surgery, inc.
Abstract Body:
Purpose: The purpose of this study is to evaluate the use of fat for a variety of functional and cosmetic oculoplastic indications and more specifically the role of fat injections to replace periocular fillers causing chronic periocular edema.
Study Design: Retrospective case series.
Methods: Review of 29 cases over a period of 7 years, using clinical data and photograph review. Study parameters included: patient satisfaction, follow-up, fat longevity, complications and disappearance of pre-operative chronic edema secondary to hyaluronic acid (HA). We describe the use of hyaluronidase and fat injections or grafting for a variety of functional and cosmetic oculoplastic indications.
Results: - 7 patients were treated with fat transpositions - Fat injections were used for periorbital hollows, perioral hollows, treatment of deep superior sulci, lower eyelid retraction and scar treatment in 20 patients - Fat pearl grafts were used to treat deep superior sulci in 2 patients. The fat injection patient satisfaction rate was: Fully satisfied 85% (17/20) Satisfied 15% (3/20) Dissatisfied 0% (0/20) Pre-operative chronic edema from hyaluronic acid fillers resolved in all patients. Range of follow-up was 3-24 months. The main complication of fat injections was partial fat atrophy in 4 patients, which occurred more frequently in functional patients (3/4) and in the early post-operative period.
Conclusions: Autologous fat is a safe and reliable natural filler. It provides great long-term esthetic and functional results in the treatment of volume loss and is an excellent solution for patients suffering from chronic periorbital edema secondary to hyaluronic acid.
Author Disclosure Block: P.R. Boulos: Major stock shareholder; Name of Commercial Company(s); Clinique O, Plastic and Esthetic Eye Surgery, inc.
Abstract Body:
Purpose: The purpose of this study is to evaluate the use of fat for a variety of functional and cosmetic oculoplastic indications and more specifically the role of fat injections to replace periocular fillers causing chronic periocular edema.
Study Design: Retrospective case series.
Methods: Review of 29 cases over a period of 7 years, using clinical data and photograph review. Study parameters included: patient satisfaction, follow-up, fat longevity, complications and disappearance of pre-operative chronic edema secondary to hyaluronic acid (HA). We describe the use of hyaluronidase and fat injections or grafting for a variety of functional and cosmetic oculoplastic indications.
Results: - 7 patients were treated with fat transpositions - Fat injections were used for periorbital hollows, perioral hollows, treatment of deep superior sulci, lower eyelid retraction and scar treatment in 20 patients - Fat pearl grafts were used to treat deep superior sulci in 2 patients. The fat injection patient satisfaction rate was: Fully satisfied 85% (17/20) Satisfied 15% (3/20) Dissatisfied 0% (0/20) Pre-operative chronic edema from hyaluronic acid fillers resolved in all patients. Range of follow-up was 3-24 months. The main complication of fat injections was partial fat atrophy in 4 patients, which occurred more frequently in functional patients (3/4) and in the early post-operative period.
Conclusions: Autologous fat is a safe and reliable natural filler. It provides great long-term esthetic and functional results in the treatment of volume loss and is an excellent solution for patients suffering from chronic periorbital edema secondary to hyaluronic acid.
