Fat or fillers:The dilemma in eyelid surgery  

作　　者：Giovanni Miotti Luca De Marco Davide Quaglia Martina Grando Carlo Salati Leopoldo Spadea Caterina Gagliano Mutali Musa Pier Luigi Surico Pier Camillo Parodi Marco Zeppieri 

机构地区：[1]Department of Plastic Surgery,University Hospital of Udine,Udine 33100,Italy [2]Department of Internal Medicine,Azienda Sanitaria Friuli Occidentale,San Vito al Tagliamento 33078,Italy [3]Department of Ophthalmology,University Hospital of Udine,Udine 33100,Italy [4]Eye Clinic,Policlinico Umberto I,“Sapienza”University of Rome,Rome 00142,Italy [5]Department of Medicine and Surgery,University of Enna“Kore”,Enna 94100,Italy [6]Eye Clinic Catania University San Marco Hospital,Viale Carlo Azeglio Ciampi,Catania 95121,Italy [7]Department of Optometry,University of Benin,Benin 300283,Nigeria [8]Department of Ophthalmology,Africa Eye Laser Centre,Km 7,Benin 300105,Nigeria [9]Schepens Eye Research Institute of Mass Eye and Ear,Harvard Medical School,Boston,MA 02114,United States

出　　处：《World Journal of Clinical Cases》2024年第17期2951-2965,共15页世界临床病例杂志

摘　　要：The aging of the periocular region has always aroused great interest.A fresh,young,and attractive sight determined an ever-greater attention to surgical and non-surgical techniques to obtain this result.In particular,the change in the concept of a young look,considered then“full”,led to the increasing use of surgical(fat grafting)or medical(hyaluronic acid)filling techniques.Eyelid rejuvenation became increasingly popular in the field of cosmetic treatments,with a focus on achieving a youthful and refreshed appearance.Among the various techniques available,the choice between using fat grafting or fillers presented a clinical dilemma.In particular,what surgery considered of fundamental importance was a long-lasting result over time.On the other hand,aesthetic medicine considered it fundamental not to have to resort to invasive treatments.But what was the reality?Was there one path better than the other,and above all,was there a better path for patients?The minireview aims to explore the physiopathology,diagnosis,treatment options,prognosis,and future studies regarding this dilemma.We analyzed the literature produced in the last 20 years comparing the two techniques.Current literature reveals advancements in biomaterials,stem cell research and tissue engineering held promise for further enhancing the field of eyelid rejuvenation.The choice between fat grafting and fillers in eyelid cosmetic treatments presented a clinical dilemma.Understanding physiopathology,accurately diagnosing eyelid aging,exploring treatment options,assessing prognosis,and conducting future studies were essential for providing optimal care to patients seeking eyelid rejuvenation.

关 键 词：Stem cells Adipose stem cell Ocular therapy Oculoplastics REGENERATIVE 

分 类 号：R726.5[医药卫生—儿科]