Commentary on: Superficial Enhanced Fluid Fat Injection (SEFFI) to Correct Volume Defects and Skin Aging of the Face and Periocular Region

15 Years of Upper Eyelid Micro-fat Graft: the Good, the Bad and the Ugly

This report is the product of investigation to review the result of Micro-fat graft (MFG) for upper eyelid rejuvenation compelled by Dr. Mark Codner and discusses the variety of suboptimal outcomes and rationale for their occurrence.

METHODS

This retrospective review included 1047 patients who underwent upper eyelid rejuvenation between 2001 and 2016.

RESULTS

The follow-up ranged from 3 to 190 months. Twenty-one patients were judged to have bad outcomes, and on four patients, the results were categorized as "ugly". These undesirable outcomes are categorized and discussed.

CONCLUSION

This report documents a variety of poor outcomes and the rationale for their development over a long-term follow-up and discusses the way in which these can be minimized.

LEVEL OF EVIDENCE IV

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