Reconsideration of Fat Pad Management in Lower Lid Blepharoplasty Surgery

Ted A. Cook, Jennifer Derebery, E. Roberta Harrah

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Treatment of the protruding fat pads in the lower blepharoplasty is a problem for most surgeons performing this procedure. The problems usually encountered are reviewed, the lid anatomy discussed, and a method of correcting the defect without surgically interrupting the orbital septum is presented. Tightening of the orbital septum may be produced with proper application of electrosurgical current. A total of 364 cases have been done, with a maximum follow-up of 42 months. Results show that this provides a safe and effective method of achieving the desired improvement in the bulging lower lid.

Original languageEnglish (US)
Pages (from-to)521-524
Number of pages4
JournalArchives of Otolaryngology
Issue number8
StatePublished - Aug 1984
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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