Understanding the Eye Orbital Structure

[mybodyparts]

In standard Blepharoplasty procedures, the excess fat and atrophied muscle are removed. Although many surgeons are leaning towards fat pad repositioning rather than aggressively removing fat from the lower eyelid and tear trough area. An aggressive approach can cause complications such as ectropion, entropion, unusual eye roundness, hollowness and more.

Many reasons of an improper functioning eye post-op Standard Blepharoplasty - or even cosmetic deficiencies - results from too much tissue (be it fat, muscle, etc.) being removed.

"The orbital septum, which lies deep to the Orbicularis, is a key structure and landmark in blepharoplasty. The septum is a thin sheet of fibrous tissue that originates along the superior orbital rim and hangs like a curtain across the lid. It joins the levator aponeurosis by interdigitating fibers at the upper edge of the tarsal plate. The septum keeps the orbital fat in its posterior position. Weakening of the septum with aging, hereditary predisposition, or trauma may cause protrusion of the orbital fat." 8

There is now a procedure dubbed "Fat Re-positioning" or SOOF Lift. Which is sometimes better than removing. Removing is permanent - for now. You can replace fat and tissue from other areas of your body but you cannot restore muscle function and the natural, untouched look of the eye area post excessive removal. The SOOF lift is being used to re-suspend or re-position the fat pads instead of removing them partially, or entirely. Although some people do need fat removal.

[dani1]

How many surgeons use the aggressive approach? Will the surgeon obey if a patient asks them not to use the aggressive approach?