Facial Plast Surg 1999; 15(3): 225-229
DOI: 10.1055/s-2008-1064322
© 1999 by Thieme Medical Publishers, Inc.

Fat Repositioning in Lower Blepharoplasty to Maintain Infraorbital Rim Contour

Robert Alan Goldberg, Chaim Edelstein1 , Norman Shorr
  • Orbital and Ophthalmic Plastic Surgery Division, Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, CA
  • 1Orbital and Ophthalmic Plastic Surgery and Ocular Oncology Division, Department of Ophthalmology, McGill University, Montreal, Quebec
Further Information

Publication History

Publication Date:
02 June 2008 (online)


The objective of facial rejuvenative surgery is to restore a youthful contour. With age, changes occur in the lower eyelid and cheek that involve descent of the cheek tissues as well as prolapse of orbital fat in the lower eyelid. This often results in the formation of a tear trough groove at the level of the inferior orbital rim. Lower eyelid rejuvenation surgery can then be achieved through the transposition of this fat over the orbital rim on to the superior face of the maxilla. In this article describe the transconjunctival approach to orbital fat repositioning.