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⻩黄昱豪 / 林才⺠民 林才⺠民整形外科診所 / ⼤大同醫院 整形外科 2015.03.22(⽇日) 14:10 ~ 14:20 at NTUH
Augmentation Lower Blepharoplasty with Micro-Autologous Fat Transplantation (MAFT) – A New Rejuvenation Strategy of Aging Lower Eyelid
2015 台灣外科醫學會
Disclosure Deputy Superintedent - Charming Institute of Aesthetic and Regenerative Surgery (CIARS)
Scientific Advisor - DermatoPlasticaBeauty Co., Ltd.
General Educator - Micro-Autologous Fat Transplantation (MAFT)
Background
Patrick L. Tonnard Alexis M. Verpaele
Augmentation Blepharoplasty
~~Aesthetic Surgery Journal • 2012
Background
?
MAFT for Correction Sunken Upper Eyelid
~~PRS Global Open • 2014
MAFT for Augmentation Lower Blepharoplasty??
Materials & Methods
90%
10%
x 201x 20
2014.10
2010.10
2012
0
221Average Age: 53.8 y/o ; Total:442 Lids
Patient Demographics
Materials & Methods
Surgical Pearls
• Subcilliary transcutaneous approach
• Adequate skin & muscle excision
• Limited dissection of surrounding tissue
• Minimal removal of herniated fat
• Skin closure & perform MAFT (only 1/240ml)
Results
Fat / Eye Right Left
Removed (g) 0.27 0.25
MAFT (ml) 2.59 2.60
Bilateral Lower Eyelids
Average Surgical time: 50.8 min
Complication Rate
Results
< 0.05 percent
• Vision Loss
• Early complicationscorneal abrasion, infection, hematoma, chemosis
• Late Complicationsdry eyes, lid malposition, ectropion, lagophthalmos
MAFT Lower
Blepharoplasty
0/442
3/442
2/442
Transcutaneous Traditional, safe & efficious
• Maffi et al. and Codner et al.
Low complication rates, no visible scar• P.K.S. et al.
Blending the lid-cheek junction
Integrated skin resurfacing
• Rohrich et al. & Hidalgo et al.
Augmentation Blepharoplasty Combined fat grafting
• Tonnard et al.
Discussion
Transconjunctival
Blending & Integrated
Fat Grafting
Blending & Integrated
Fat Grafting
Discussion ~~Neligan Plastic Surgery Volume 2
• Fat preservation• Simplified skin excision• Blending of the lid-cheek
junction & tear-trough• Resurfacing techniques
Procedural Evolution
• Simple transcutaneous approach
• No extended dissection
• Emphasize MAFT
• Compatible complication rates
• Long-term rejuvenation
Discussion
Our Techniques
Augmentation lower blepharoplasty with
Micro-Autologous Fat Transplantation (MAFT)
is promising & an alternative method for lower lid rejuvenation.
Conclusions