Resident, Department of Otolaryngology Mount Sinai Mount Sinai New York, New York
Background: The field of periorbital rejuvenation has recently trended away from excisional procedures towards tissue-sparing, volume-replacing treatments. Fat transposition is commonly used to add volume to the periorbital region; fat transfer, however, is underexplored, particularly for augmentation of the lower lid and under local anesthesia. Learning Objectives: To shed light on an effective and underutilized technique for periorbital rejuvenation Study Objective: To demonstrate the outcomes of lower lid fat transfer performed under local anesthesia and discuss updated protocols for fat harvest and transfer. Design Type: Retrospective review Methods: 75 consecutive lower lid rejuvenation procedures performed with fat transfer under local anesthesia were analyzed. Outcome measures include duration of surgery, post-operative pain scores, perioperative narcotic use, patient satisfaction scores, and complication rate. Results: While our data are preliminary, the results for duration of surgery, complication rate, and perioperative narcotic use are decreased from published data on periorbital rejuvenation work performed under general anesthesia. Our patient satisfaction scores are consistent with other published data on other periorbital rejuvenation techniques. Conclusion: Performance of lower lid fat transfer is a novel approach to periorbital rejuvenation that yields high patient satisfaction scores. Furthermore, the ability to avoid general anesthesia confers this technique significant benefit over more traditional approaches.