Transconjunctival Lower Blepharoplasty with Intra-SOOF Fat Repositioning

  • Yasaman Mohadjer
  • John B. Holds


The increased recognition of anatomic factors associated with the tear trough deformity in the lower eyelids as well as an increased sensitivity of patients and surgeons to the secondary deformities associated with purely subtractive blepharoplasty surgery have led to a variety of conservative lower blepharoplasty techniques focused on the translocation or repositioning of fat to camouflage the anatomic tear trough.1, 2, 3


Secondary Deformity Tear Trough Deformity Lower Blepharoplasty Infraorbital Nerve Block Aser Skin 
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  1. 1.
    Muzaffar AR, Mendelson BC, Adams WP. Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 2002;110:873–884.CrossRefPubMedGoogle Scholar
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    Goldberg RA. Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg 2000;105:743–751.CrossRefPubMedGoogle Scholar
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    Hamra ST. The role of the septal resent in creating a youthful eyelid-cheek complex in facial rejuvenation. Plast Reconstr Surg 2004;113:2124–2144.PubMedGoogle Scholar
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    Mohadjer Y, Holds JB. Cosmetic lower eyelid blepharoplasty with fat repositioning via intra-SOOF dissection: surgical technique and initial outcomes. Ophthal Plast Reconstr Surg 2006;22:409–413.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Yasaman Mohadjer
    • 1
  • John B. Holds
    • 2
  1. 1.Department of Ophthalmology and Visual SciencesWashington University in St. LouisSt. LouisUSA
  2. 2.Departments of Ophthalmology and Otolaryngology-Head and Neck SurgerySaint Louis UniversitySt. LouisUSA

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