Two Common Problems with Autologous Fat Filling of the Orbit
Two common problems with autologous fat filling of the orbit are:
1. Graft resorption
2. Ectropion
Graft Resorption
Graft resorption is the most common complication of autologous fat filling of the orbit. It is the loss of volume of the fat graft over time. The exact cause of graft resorption is unknown, but it is thought to be due to a combination of factors, including:
The lack of a vascular supply to the fat graft
The inflammation that occurs after surgery
The pressure from the surrounding tissues
Graft resorption can lead to a number of problems, including:
The loss of volume in the orbit, which can lead to a sunken appearance
The formation of wrinkles and folds in the skin around the eyes
The drooping of the eyelids
Graft resorption can be minimized by:
Using a technique that optimizes the vascular supply to the fat graft
Minimizing the inflammation that occurs after surgery
Avoiding pressure on the fat graft
Ectropion
Ectropion is the outward turning of the eyelid. It is a relatively rare complication of autologous fat filling of the orbit, but it can be a serious problem. Ectropion can lead to a number of problems, including:
Dry eye
Corneal ulceration
Vision loss
Ectropion is caused by the pressure of the fat graft on the eyelid. This pressure can cause the eyelid to turn outward, which can lead to the problems listed above.
Ectropion can be treated with surgery. The goal of surgery is to relieve the pressure on the eyelid and to allow it to return to its normal position.
Prevention and Treatment
In addition to the measures listed above, there are a number of other things that can be done to prevent and treat the complications of autologous fat filling of the orbit. These include:
Using a sterile technique during surgery
Avoiding trauma to the fat graft
Massaging the fat graft after surgery
Using antibiotics to prevent infection
If you are considering autologous fat filling of the orbit, it is important to be aware of the potential complications. Your doctor can discuss these complications with you and help you decide if this procedure is right for you.
Conclusion
Autologous fat filling of the orbit is a relatively safe and effective procedure, but it is important to be aware of the potential complications. By taking steps to prevent and treat these complications, you can help ensure a successful outcome.
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