15 Years of Upper Eyelid Micro-fat Graft: the Good, the Bad and the Ugly
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ORIGINAL ARTICLE
OCULOPLASTIC
15 Years of Upper Eyelid Micro-fat Graft: the Good, the Bad and the Ugly Fahd Benslimane1
•
Henrique Pessoa Ladvocat Cintra2
Received: 20 July 2020 / Accepted: 24 August 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract This report is the product of investigation to review the result of Micro-fat graft (MFG) for upper eyelid rejuvenation compelled by Dr. Mark Codner and discusses the variety of suboptimal outcomes and rationale for their occurrence. Methods This retrospective review included 1047 patients who underwent upper eyelid rejuvenation between 2001 and 2016. Results The follow-up ranged from 3 to 190 months. Twenty-one patients were judged to have bad outcomes, and on four patients, the results were categorized as ‘‘ugly’’. These undesirable outcomes are categorized and discussed. Conclusion This report documents a variety of poor outcomes and the rationale for their development over a longterm follow-up and discusses the way in which these can be minimized. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full
In memoriam to Mark Codner Presented at the 10th Annual Atlanta Oculoplastic Surgery Symposium January 2017.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00266-020-01946-1) contains supplementary material, which is available to authorized users. & Fahd Benslimane [email protected]; http://www.cliniquebenslimane.com http://www.crosslinkingartwithscience.com
description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Keywords Cosmetic Micro fat graft Lipofilling Fat injection Oculoplastic surgery Blepharoplasty
Introduction In May 2016, I was invited by Dr. Mark Codner to attend the 10th Annual Atlanta Oculoplastic Surgery Symposium, which was to be held on 19 January 2017. The theme was ‘‘Oculoplastic Techniques and Surgery: The Good, The Bad and The Ugly’’ as it was mandatory to include Good, Bad and Ugly results. This paper is in memoriam to Mark Codner. He ‘‘forced’’ me to review my cases of upper eyelid (UEL) microfat graft (MFG) operated between May 2001 and November 2016 and to shed light on the bad and ugly results I obtained on 1047 consecutive cases. The present paper focuses mainly on complications that have not been described previously in the literature. Their aetiology and eventual treatment are discussed. This paper underlines the importance of a holistic approach to gaze beauty rather than thinking in terms of the sole upper eyelid’s filling. Finally, catastrophic complications reported in the literature are discussed. Their aetiology and sound strategies to avoid their occurrence are also described.
Henrique Pessoa Ladvocat Cintra [email protected]
Method
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Clinique Benslimane of Plastic Surgery, 7, rue Ahmed Annaciri, Palmier
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