Periorbital Rejuvenation Using Fat Grafting to Five Key Anatomic Areas

Periorbital aging is driven by early, compartment-specific volume loss that is accentuated by the region's thin, soft tissue and complex retaining ligament network. This article presents a structured, anatomy-based approach to periorbital fat grafting that targets five key anatomic regions: the tear trough, medial superior orbital rim, lateral brow, temple, and lateral canthal region. This technique provides a reproducible framework for safe and natural periorbital rejuvenation, either as a standalone procedure or in conjunction with blepharoplasty, browlift, and facelift surgeries.