Importance of Fat Conservation in Lower Blepharoplasty

The author describes her experience in over 200 cases operated on from 1993 to 1996 with the lower blepharoplasty with arcus marginalis release and fat conservation as described by Hamra [Plast Reconstr Surg 96:354, 1995; Clin Plast Surg 23:17, 1996]. The overall satisfaction with the somewhat modified technique led the author to abandon completely the conventional type of fat resection. The technique has been used in different clinical situations. The anatomical basis, the technique, and the complications are discussed.