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Transconjunctival Subperiosteal Fat Reposition for Tear Trough Deformity: Pedicled Fat Redraping Versus Septal Reset

Youn, Seungki MD*; Shin, Jong In MD; Kim, Jeong Tae MD, PhD*; Kim, Youn Hwan MD, PhD*

doi: 10.1097/SAP.0b013e31827f5455
Aesthetic Surgery

Fat-preserving lower blepharoplasty techniques are increasingly common, but to date there has been insufficient data comparing the results of fat repositioning and septal reset. The authors compared the aesthetic results of the 2 methods using statistical analysis.

A total of 120 patients, who had undergone transconjunctival subperiosteal fat repositioning from February 2008 to April 2009, were included. Group 1 (71 patients) underwent fat reposition with pedicled infraorbital fat redraping. Group 2 (49 patients) underwent septal reset to reposition the underlying fat. Documentation of the results with grading (grade 0–III) by 2 surgeons was done, and the results were evaluated for clinical improvement.

Septal reset showed statistical significance on grade improvement compared to direct fat manipulation methods in the patients with grade II and grade III deformities. Septal reset also showed a trend for a higher degree of improvement compared to the latter. There were no major postoperative complications.

From the *Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul; and †Jo N Shin Aesthetic Plastic Surgical Clinic, Seoul, Korea.

Received June 14, 2012, and accepted for publication, after revision, November 21, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Youn Hwan Kim, MD, PhD, Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, 17, Haengdang-Dong, Seongdong-Gu, Seoul 133-792, Korea. E-mail:

© 2014 by Lippincott Williams & Wilkins