Influence of temporal fossa lipograft on periorbital rejuvenation
Keywords:
periorbital rejuvenation, eyebrow ptosis, temporal lipoatrophy, temporal lipoinjection, lipotransferAbstract
Objective: To evaluate the periorbital changes later to volumetric replacement of the temporal fossa with lipograft.
Method: Descriptive, prospective and longitudinal study with 187 patients who underwent lipotransfer of the temporal fossa in the period between June 2019 and March 2024.
Results: Women predominated with 95.70%. The average age was 50.5 years. The average grafted volume per temporal fossa was 9.7 cc. The degree of temporal atrophy that prevailed in the preoperative period was 3 with 59.68%, in the immediate postoperative period it was grade 1 with 58.06% and in the late postoperative period it was grade 2 with 59.68%. Eyebrow ptosis had a preoperative prevalence of grade 3 with 60.75%, in the immediate postoperative period grade 1 prevailed with 60.75% and in the late postoperative period grade 2 prevailed with 60.75%. In the external canthus, the negative orientation predominated preoperatively with 60.75%. In the immediate postoperative period, the positive one prevailed with 60.75% and in the late postoperative period the neutral one with 60.75%. There were no complications in 100% and all patients were satisfied.
Conclusions: Lipograft in the temporal fossa positively influences periorbital rejuvenation with replacement of the eyebrow and the external palpebral canthus. All patients improved on one level of the grading scale for eyelid ptosis, lateral canthus, and temporal atrophy in the absence of complications.
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