Purpose: Volume restoration is an important component of aesthetic facial rejuvenation, particularly in the brow and upper eyelid regions. In this study, the authors describe transposition of the central, preaponeurotic fat pad in the sub-brow preperiosteal plane with full release of the brow during upper blepharoplasty. Methods: A retrospective review including all patients who underwent transposition of the upper eyelid central, preaponeurotic fat pad at the time of upper blepharoplasty. Patients with simultaneous brow lifting surgeries were excluded. The surgical technique involved placement of the preaponeurotic fat pad pedicle in the sub-brow space after full brow release for augmentation of sub-brow volume after performing upper blepharoplasty. Results: Nineteen patients (n = 36 eyelids) were identified who underwent this transposition upper blepharoplasty technique. No complications or adverse events related to this procedure were observed. All patients were satisfied with their outcome. Conclusions: Transposition upper blepharoplasty with complete brow release is a safe, effective adjunct to blepharoplasty for upper eyelid and periorbital rejuvenation. Accepted for publication March 22, 2019. Dr. Nakra is a shareholder of Global Beauty Science, Inc. The other authors have no financial or conflicts of interest to disclose. All authors have complied with the standards and guidelines set forth by the Health Insurance Portability and Accountability Act. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website (www.op-rs.com.). Address correspondence and reprint requests to Tanuj Nakra, M.D., TOC Eye and Face, 3705 Medical Parkway, Suite 120, Austin, TX 78745. E-mail: tnakra@tocaustin.com © 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.
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