Sorry, you need to enable JavaScript to visit this website.

路透社報導:下眼眶補脂,可維持數年效果Under-Eye Fat Transfer Lasts a Few Years

From Reuters Health Information

Under-Eye Fat Transfer Lasts a Few Years: Study

By Genevra Pittman

NEW YORK (Reuters Health) Jul 21 - Fat transferred under the eyes to create a
younger-looking face can last for at least three years, suggests a new study of
people who had the surgery.


The procedure involves liposuction from the abdominal area or thighs and then
injection of the fat below the lower eyelid, to puff up an area that surgeons
say generally begins to lose its shape by the time people are in their 30s.


Doctors say it's more "natural" and lasts longer than injecting
commercially-made wrinkle fillers, but there's also a risk of complications and
a higher price tag that comes along with the fat-transfer surgery.


"It's becoming a very common procedure and a way to naturally rejuvenate
especially the lower eyelid area," said study author Dr. Cory Yeh, a plastic
surgeon from Laguna Woods, California.

"The vast majority of patients are seeing results up to three years," Dr. Yeh
told Reuters Health. "The question is always, are we going to be seeing results
past that point?"

Surgeons said the procedure typically takes an hour or more, and costs $3,500
to $4,000.


For the new study, published in Archives of Facial Plastic Surgery, online
July 18, Dr. Yeh and Dr. Edwin Williams, from the Albany Medical Center in New
York, tracked photos of 99 people who had the fat-transfer surgery between 2004
and 2008.

Patients were between 35 and 71 years old, and almost all were women.


Those patients came back to the office for photos of their eye area every few
months for up to four years following the surgery. Without knowing when the
photos were taken, other members of the study team rated how much improvement,
if any, they saw in patients' faces from their original, pre-surgery photos.

In pictures taken a year or less after the surgery, 5% of patients showed no
improvement, 51% had mild improvement, and 44% had marked improvement.

By two to three years post-surgery, 14% of patients had no improvement from
their original photos, 68% had mild improvement and 18% had marked improvement
-- but the researchers only had data on 22 patients that far out.


 The most common complication of the surgery was swelling lasting more than a
couple of weeks. Some patients also had bruising under the eyes or minor
ries. Patients can also get small lumps under their eyes post-surgery,
researchers said.


Dr. Yeh said the findings "matched our expectations" in terms of how long the
results would hold up after surgery.

"We know that the person's going to continue to age, and that they're going
to continue to lose volume" under the eyes, he said. "I would have been shocked
if we'd said, 'No, everybody remains perfect.'"


Dr. Jason Meier, a plastic surgeon from Jacksonville, Florida, said the
procedure is a few times more expensive than typical commercial injections, but
that those injections need to be repeated about every year.

The current study didn't look at any results from patients who got those


"Fat transfer is an excellent, permanent option for patients who want a
natural, rejuvenated look in the under-eye area," Dr. Meier, who wasn't involved
in the new research, told Reuters Health.

"Some things don't end up perfectly precise," but that can be corrected with
follow-up procedures, he added. "Uniformly, everyone is very satisfied."


Dr. Yeh said the extra volume may not last as long in elderly patients, or
those that smoke or exercise a lot.

But he said the fat-transfer procedure is becoming more common, and that it's
"appealing to many patients because this is a natural way of using their own
body fat."



Arch Facial Plastic Surg 2011