⻩黄昱豪 / 林才⺠民 林才⺠民整形外科診所 / ⼤大同醫院 整形外科 2015.03.22(⽇日) 14:10 ~ 14:20 at NTUH

Augmentation Lower Blepharoplasty with Micro-Autologous Fat Transplantation (MAFT) – A New Rejuvenation Strategy of Aging Lower Eyelid

2015 台灣外科醫學會

Disclosure Deputy Superintedent - Charming Institute of Aesthetic and Regenerative Surgery (CIARS)

Scientific Advisor - DermatoPlasticaBeauty Co., Ltd.

General Educator - Micro-Autologous Fat Transplantation (MAFT)

01

02

03

04

Background

Materials & Methods

Results

Discussion

Aging Lower Eyelid

Background ~~Neligan Plastic Surgery Volume 2

Procedural Evolution

Background

1

…

32 Transcutaneous

Transconjunctival

Blending & Integrated

… …

Background

Patrick L. Tonnard Alexis M. Verpaele

Augmentation Blepharoplasty

~~Aesthetic Surgery Journal • 2012

Background

?

MAFT for Correction Sunken Upper Eyelid

~~PRS Global Open • 2014

MAFT for Augmentation Lower Blepharoplasty??

01

02

03

04

Background

Materials & Methods

Results

Discussion

Materials & Methods

90%

10%

x 201x 20

2014.10

2010.10

2012

0

221Average Age: 53.8 y/o ; Total：442 Lids

Patient Demographics

Materials & Methods

Surgical Pearls

• Subcilliary transcutaneous approach

• Adequate skin & muscle excision

• Limited dissection of surrounding tissue

• Minimal removal of herniated fat

• Skin closure & perform MAFT (only 1/240ml)

01

02

03

04

Background

Materials & Methods

Results

Discussion

Results

Fat / Eye Right Left

Removed (g) 0.27 0.25

MAFT (ml) 2.59 2.60

Bilateral Lower Eyelids

Average Surgical time: 50.8 min

Complication Rate

Results

< 0.05 percent

• Vision Loss

• Early complicationscorneal abrasion, infection, hematoma, chemosis

• Late Complicationsdry eyes, lid malposition, ectropion, lagophthalmos

MAFT Lower

Blepharoplasty

0/442

3/442

2/442

01

02

03

04

Background

Materials & Methods

Results

Discussion

Transcutaneous Traditional, safe & efficious

• Maffi et al. and Codner et al.

Low complication rates, no visible scar• P.K.S. et al.

Blending the lid-cheek junction

Integrated skin resurfacing

• Rohrich et al. & Hidalgo et al.

Augmentation Blepharoplasty Combined fat grafting

• Tonnard et al.

Discussion

Transconjunctival

Blending & Integrated

Fat Grafting

Transcutaneous

Transconjunctival

Discussion

Procedural Evolution

Blending & Integrated

Fat Grafting

Discussion ~~Neligan Plastic Surgery Volume 2

• Fat preservation• Simplified skin excision• Blending of the lid-cheek

junction & tear-trough• Resurfacing techniques

Procedural Evolution

• Simple transcutaneous approach

• No extended dissection

• Emphasize MAFT

• Compatible complication rates

• Long-term rejuvenation

Discussion

Our Techniques

Augmentation lower blepharoplasty with

Micro-Autologous Fat Transplantation (MAFT)

is promising & an alternative method for lower lid rejuvenation.

Conclusions

THANKS … …