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Shan R. Baker, MD

Arch Facial Plast Surg. 1999;1:33-37.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

In the last 4 years, there have been a few reports concerning unconventional management of the fat posterior to the orbital septum (intraorbital) as well as periorbital fat located superficial to the orbital septum in a plane both superficial and deep to the orbicularis oculi muscle.^1-8 With reference to intraorbital fat, some reports suggest that this fat be preserved and mobilized to other areas to recontour the lower lid, while other authors suggest repositioning the fat within the bony orbit. To address these new concepts, a discussion of the theories behind these approaches is needed.

FAT REPOSITIONING

An excellent anatomical study of the intraorbital fat has confirmed that the infraocular (below the globe) fat is continuous and not separated into compartments.² However, the fat mass as it encircles the extraocular muscles causes it to be divided into 3 areas: nasal, central, and lateral. Although they are not true . . . [Full Text of this Article]

FAT MOBILIZATION

REPOSITIONING VS MOBILIZATION

TECHNIQUE

Transcutaneous Approach

Transconjunctival Approach

RESULTS

COMMENT

From the Center for Facial Cosmetic Surgery, Livonia, Mich.

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