Description

This case highlights my technique for managing periorbital aging particularly in lower lids.  In order to properly address all aging components; skin excess, fat bags, falling cheek, loss of cheek volume, and lid cheek junction hollow, I separate out the three main fat bags, release the lid cheek junction attachments so this saved fat (not discarded!) can be transposed (moved) into the hollows.  I then inject this fat with fillers into the cell mass under direct visualization (distinct from in-office filler and far more precise and long lasting) and then I perform retinacular release to aid in mini-lateral cheek lift which is elevated into a higher position by dermo-muscular-orbicular-pennant flap (DMOP).  The results far exceed typical more simplified eyelift “lift” procedures.  An outstanding outcome!