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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 4. — This 38-year-old woman presented for fat grafting to improve her aging lower eyelid including moderate baggy eye, skin redundant, and dark circles. Transcutaneous lower blepharoplasty with micro-autologous fat transplantation for recontouring the tear trough deformity and lid-cheek junction was performed. (A) Fat graft volumes of 3.5 mL and 3.0 mL were placed in the right side and left side, respectively, after removal of orbital fat volumes of 0.11 g and 0.12 g from the right side and left side, respectively. (B) Four years after a single micro-autologous fat transplantation session and lower blepharoplasty, the improved appearance of her lower eyelid was maintained. (C,D) The recontoured tear trough and the lid-cheek junction with an improved appearance of the baggy lower eyelid are shown in the oblique view. (E,F) Close-up, downward-looking view further indicates the skin rejuvenation effects with diminished dark circles.