{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T02:12:23Z","timestamp":1784945543445,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The tear trough is the hollow concavity of the medial lower eyelid. Surgery can address tear trough deformities and reverse visible signs of periorbital aging. The previous methods of transconjunctival blepharoplasty with fat transposition were first described with subperiosteal placement of fat (Plast Reconstr Surg, 125, 2010,699, Aesthetic Surg J, 32, 2012, 426). This was followed by techniques with submuscular transposition of fat, which overcame certain difficulties associated with the subperiosteal methods (Clin Plast Surg, 20, 1993, 393, Arch Facial Plast Surg, 2, 2000, 16).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We present a detailed description, evaluate the efficacy, safety, and advantages of transconjunctival blepharoplasty with fat pedicle transposition above the orbicularis muscle for lower eyelid rejuvenation and improvement of the tear trough deformity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010one patients underwent lower eyelid blepharoplasty with fat transposition above the orbicularis muscle. Clinical and photographic documentation along with patient satisfaction ratings were evaluated for a minimum of 44\u00a0months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant improvements of lower eyelid aesthetics and correction of tear trough abnormalities were observed in most patients. At 44\u00a0months postoperatively, surgical correction was maintained in all patients with a high satisfaction and long\u2010term survival. No contour irregularities or significant long\u2010term complications were detected in any of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transconjunctival blepharoplasty with the fat pedicle transposition placed above the orbicularis muscle is a safe and effective technique for lower eyelid rejuvenation. Compared to previously described techniques of repositioning fat into the subperiosteal or submuscular plane, this technique of transposing fat above the orbicularis muscle is an alternative technique resulting in long\u2010term improvement of tear trough abnormalities with no major complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.13978","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T15:02:10Z","timestamp":1612537330000},"page":"2911-2916","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Transconjunctival lower eyelid blepharoplasty with fat transposition above the orbicularis muscle for improvement of the tear trough deformity"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6434-7113","authenticated-orcid":false,"given":"Mandy","family":"Majidian BA","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine New Orleans LA USA"},{"name":"Research Department Moy\u2010Fincher\u2010Chipps Facial Plastics and Dermatology Beverly Hills CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2426-7688","authenticated-orcid":false,"given":"Hiren","family":"Kolli BS","sequence":"additional","affiliation":[{"name":"Research Department Moy\u2010Fincher\u2010Chipps Facial Plastics and Dermatology Beverly Hills CA USA"},{"name":"Virginia Commonwealth University School of Medicine Richmond VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald L.","family":"Moy MD","sequence":"additional","affiliation":[{"name":"Research Department Moy\u2010Fincher\u2010Chipps Facial Plastics and Dermatology Beverly Hills CA 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