Assessment of the Aesthetic Outcome of Fat Repositioning Technique for Tear Trough Deformity | ||||
| Zagazig University Medical Journal | ||||
| Volume 31, Issue 8, August 2025, Page 3996-4008 PDF (1.41 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.390089.3974 | ||||
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| Authors | ||||
Ahmed Ali Abulfadl Khashaba1; Ayman Fekry Mehany1; Moatasem Hussein Husseiny Samaha  2
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| 1Professor of plastic and reconstructive surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 2Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Tear trough deformities are a common aesthetic concern, characterized by hollowing beneath the eyes, leading to a tired or aged appearance. While various treatments exist, fat repositioning has proven to be an effective and lasting solution, especially in cases with prominent lower eyelid fat pads. This study aimed to evaluate and enhance the visual appearance of the periocular region by employing the fat repositioning technique for Tear Trough Deformity. Methods: This a prospective, randomized clinical trial study on 24 patients with tear trough deformities underwent the fat repositioning technique, and their aesthetic outcomes were assessed over a six-month period. Using a standardized grading system ranging from Grade 0 to Grade 3, where Grade 0 indicates no visible deformity, Grade 1 represents mild hollowing, Grade 2 denotes moderate depression with obvious shadowing, and Grade 3 reflects severe contour irregularity with marked volume loss. Results: The technique achieved complete correction in 83.3% of Grade I, 70% of Grade II, and 62.5% of Grade III cases, with all patients in the severe category showing improvement. Objective grading scores significantly improved, with the mean Tear Trough Grading Scale decreasing from 2.0±0.8 to 0.9±0.6 (p<0.0001). Patient-reported FACE-Q scores rose markedly from 42.5±15.2 to 78.3±10.4 (p<0.0001), reflecting enhanced satisfaction, confidence, and quality of life. Complications were mild and infrequent, including swelling (25%), bruising (20.8%), under-correction (12.5%), and rare cases of scarring, ectropion, or revision surgery (4.2%). Conclusion: Fat repositioning proved to be a safe and effective treatment with functional and psychosocial benefits. | ||||
| Keywords | ||||
| Tear Trough Deformity; Fat Repositioning; human face | ||||
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