Blepharoplasty for Repositioning of Eyelid Fat

Blepharoplasty can be performed for fat transfer, fat redraping, fat transportation, arcus marginalis release and septal reset. Fat injection and free fat grafting can also be performed under blepharoplasty. Some people have depression at the junction of lower eyelid and the cheek. This depression is caused by heredity or aging factor. The depression is appears as dark circle near lower eyelid.

Generally blepharoplasty is used to remove the depression or dark circle. In blepharoplasty, bulging orbital fat is used to camouflage the depression at the junction between lower eyelid and the cheek. Local anesthesia is acceptable for manipulation of wider area of tissue. Eyelid Fat Repositioning is not so much different procedure during blepharoplasty. It is just a different method to handle the bulging fat during blepharoplasty. Transconjunctival Lower Blepharoplasty is preferred to approach fat pockets. After that they are dissected out from thin capsules but not removed. Extra fat is then changed to uniform layer but remains connected to blood supply. This uniform layer of fat is reflected over the rim of bone into the area of depression. Sometimes this procedure is called as arcus marginalis release. This procedure comes under blepharoplasty. During the procedure, the fat is tucked under periosteum. Fat is usually elevated from the bone and anchored with removable sutures and tied on the cheek. After the completion of the blepharoplasty procedure, eyelids appear normal without extra fat.