AUTOLIPOTRANSFER VOLUMIZATION OF INFRAORBITAL TISSUE VOLUME DEFICIT WITH A FREE FRAGMENT OF THE CHEEK FAT PAD (BISHAT) DURING LOWER EYELID PERIORBITOPLASTY

Background. The demand for plastic and aesthetic surgery is increasing year on year and so are the patient's expectations of the quality of the plastic surgeon's work. One of the most problematic areas on the face under the lower eyelids in ageing patients is the infraorbital region tissue deficit. To fill the local deficit of infraorbital tissue volume, free autolipotransfer volumization with a fragment of the cheek fat pad e (Bishat) is used in combination with periorbitoplasty of the lower eyelids. The most rejuvenating method for filling an expressed deficit of infraorbital tissue volume is lipofilling, which is not always sufficient to obtain the expected aesthetic result. The most effective predictable method for correcting the infraorbital tissue volume deficit is autolipotransfer volumization with a fragment of the fat pad of the cheek (Bishat) with its fixation with separate interrupted sutures to prevent its displacement. Purpose. To evaluate and analyze the aesthetic volumizing and surgical results, as well as the frequency of possible complications when performing periorbitoplasty of the lower eyelids with free movement of a fragment of the cheek fat pad (Bishat) in the infraorbital region. Materials and methods. The clinical study included 37 patients who underwent autolipotransfer corrective volumizing periorbitoplasty of the lower eyelids in combination with free movement of a single block of the cheek fat pad fragment (Bishat) to the infraorbital region, with fixation by separate sutures. The study involved female patients aged from 55 to 65 years. The main motivating reason for contacting an aesthetic surgeon in all patients was complaints of severe atrophy and volume deficit of infraorbital fatty tissue. Results. On the 12th day after the surgery, 94.7% of the patients reported satisfaction with the aesthetic and cosmetic result. During the follow up examination of all operated patients two months later, 97.3% of the patients reported complete satisfaction with the cosmetic and aesthetic outcome of the surgery. Conclusion. The results of aesthetic, cosmetic and surgical effectiveness of the performed lower eyelid periorbitoplasty in combination with autolipotransfer volumization by free movement of a fragment of the cheek fat pad (Bishat) to the infraorbital region were assessed. More than 95% of the operated patients reported a pronounced positive rejuvenating result after the surgical correction.