Endoscopic Tear Trough Correction with Fat Graft During Mid-face Lift.

[BACKGROUND] Tear trough deformity, a visible indicator of periorbital aging. Various surgical and non-surgical techniques have been employed to address this issue, including implants, synthetic fillers, and fat grafting operations. The aim of the study is to present the application of endoscopically assisted fat grafting in the correction of tear trough deformity.

[METHODS] The study involved thirty-two patients with tear trough deformity who underwent endoscopic-assisted fat grafting alongside the mid-face lift procedure for total face rejuvenation. Postoperative assessments included a review of pre- and postoperative photographs, graded using the tear trough rating scale, by two surgeons not involved in patient care.

[RESULTS] Postoperative assessments revealed successful elimination of the tear trough deformity in all patients, with stable grafts observed after twelve months. The presented technique offers several advantages, including anatomical integrity preservation, precise volumetric restoration, and scarless outcomes. Patient selection based on tear trough severity and individual anatomical variations was emphasized, with ongoing attention to potential complications and long-term outcomes.

[CONCLUSION] We believe the integration of endoscopic-assisted fat grafting with mid-face lift surgery offers a comprehensive solution for tear trough deformity and provides significant advancements in cosmetic surgery. The technique ensures anatomical integrity, precise volumetric restoration, and minimal scarring, boosting patient satisfaction. Patient selection based on tear trough severity and anatomical variations, along with continuous monitoring for complications, emphasizes the meticulous approach for optimal outcomes. This innovative approach represents a notable advancement, providing both aesthetic enhancements and functional improvements while enabling a less invasive procedure and faster recovery.

[LEVEL OF EVIDENCE V] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .