No-pedicled fat grafts in Lower eyelid blepharoplasty, A simple technique with comparable results

Purpose: To evaluate the aesthetic outcome and clinically important complications of no-pedicled fat graft during lower blepharoplasty, the viability of fat grafts and patient satisfaction during at least 6 months follow up Methods: The authors retrospectively reviewed the charts of patients who underwent transconjunctival lower blepharoplasty with no-pedicled fat graft over a period of 2 years (2016-2018). The viability of fat grafts and cosmetic outcome were assessed by another independent oculoplastic surgeon on the base of tear trough grading system (Barton) by comparing before, one month and 6 months after surgery. Results: the study consists of 95 cases. No complication like hardening of the grafts, graft inflammation, eye movement restriction and diplopia was observed. Tear trough filling and softening was seen in more than 85 percent of casesResults: The study consists of 95 cases. No complication like hardening of the grafts, graft inflammation, eye movement restriction and diplopia was observed. Tear trough filling and softening was seen in more than 85 percent of cases. Conclusion: No-pediced fat graft lower blepharoplasty is an effective procedure with comparable long termresults to pedicled fat repositioning procedures. The technique is easier to perform and lacks the complications like hardening and inflammation of pedicled flaps.