Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

The Six-Step Lower Blepharoplasty: Using Fractionated Fat to Enhance Blending of the Lid-Cheek Junction

Rohrich, Rod J. M.D.; Pezeshk, Ronnie A. M.D.; Sieber, David A. M.D.

Plastic and Reconstructive Surgery: June 2017 - Volume 139 - Issue 6 - p 1381-1383
doi: 10.1097/PRS.0000000000003398
Cosmetic: Video+

Summary: Lower lid blepharoplasty is one of the most complex procedures performed by plastic surgeons and may cause significant long-term sequelae, including inadequate aesthetic outcomes if not performed with a thorough understanding of anatomy and proper technique. The authors’ practice is consistently evolving to deliver the highest quality results for their patients. The purpose of this article is to introduce an additional sixth step to the lower lid blepharoplasty procedure involving the targeted injection of fractionated fat to better blend the lid-cheek junction. This added step will enhance overall facial rejuvenation, is reproducible, and will provide patients with exceptional outcomes.

Dallas, Texas

From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Dallas Plastic Surgery Institute.

Received for publication February 2, 2016; accepted August 31, 2016.

Disclosure:The authors have no financial interests in this research project or in any of the techniques or equipment used in this study. Rod J. Rohrich, M.D., receives instrument royalties from Eriem Surgical, Inc., and book royalties from Thieme Medical Publishing. No funding was received for this article.

Video Plus content is available for this article. Direct URL citations appear in the printed text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (

Rod J. Rohrich, M.D., Dallas Plastic Surgery Institute, 9101 North Central Expressway Suite 600, Dallas, Texas 75231,, @DrRodRohrich

Copyright © 2017 by the American Society of Plastic Surgeons