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. 2019 Jan 21;39(11):1163–1177. doi: 10.1093/asj/sjz005

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© 2019 The American Society for Aesthetic Plastic Surgery, Inc.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

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Figure 3. — This 51-year-old woman (A) presented for transcutaneous lower blepharoplasty with micro-autologous fat transplantation to improve her aging lower eyelid. Transcutaneous lower blepharoplasty with skin-only excision was performed in conjunction with micro-autologous fat transplantation to remove right and left orbital fat (0.31 g and 0.43 g, respectively) that was then transplanted in the right and left tear troughs and lid-cheek junctions (4.0 mL and 4.0 mL, respectively). (B) At 57 months after surgery, retention of the fat volume in her tear trough and lid-cheek junction areas was maintained. The (C,D) oblique and (E,F) close-up profile views show good recontouring in the tear troughs and lid-cheek junctions at 57 months postoperatively. The fine wrinkles over the crow’s feet area and the skin dyspigmentation were improved and maintained. (G,H) A downward view demonstrates not only the eliminated infra-orbital fine wrinkles but also rejuvenation of the entire area with appropriate volume restoration.

Figure 3. — This 51-year-old woman (A) presented for transcutaneous lower blepharoplasty with micro-autologous fat transplantation to improve her aging lower eyelid. Transcutaneous lower blepharoplasty with skin-only excision was performed in conjunction with micro-autologous fat transplantation to remove right and left orbital fat (0.31 g and 0.43 g, respectively) that was then transplanted in the right and left tear troughs and lid-cheek junctions (4.0 mL and 4.0 mL, respectively). (B) At 57 months after surgery, retention of the fat volume in her tear trough and lid-cheek junction areas was maintained. The (C,D) oblique and (E,F) close-up profile views show good recontouring in the tear troughs and lid-cheek junctions at 57 months postoperatively. The fine wrinkles over the crow’s feet area and the skin dyspigmentation were improved and maintained. (G,H) A downward view demonstrates not only the eliminated infra-orbital fine wrinkles but also rejuvenation of the entire area with appropriate volume restoration.