Dr. Rod Rohrich Publishes Review on Best Practices in Lower Eyelid Rejuvenation

Dallas, Texas  – J Dallas-based world renown plastic surgeon Rod J. Rohrich, MD, together with his colleagues Monali Mahedia, MBBS, David Hidalgo, MD and Nilay Shah, MD, has published a review article in the Plastic and Reconstructive Surgery Journal that points to an array of different strategies that can be used alone or together with other methods in order to obtain a youthful lid-cheek junction. The review offers a scientific basis for the best management of the lower eyelid cheek area for facial rejuvenation.

Dr. Rohrich and his colleagues published the review with the aims to address the amalgam of studies that address lower blepharoplasty (a type of surgery that focuses on addressing or repairing aging  eyelids) techniques alone or combined which has caused confusion among many plastic surgeons. The aim is to unify views by plastic surgeons by highlighting that traditional blepharoplasty has evolved beyond just blending of the lid-cheek area alone as means to obtain a youthful look.

They write that, “There is an evolution toward better periorbital contouring with blending of the lid-cheek junction. Another shift is to achieve a natural-appearing, smoother, and fuller lower eyelid that blends well with the full face.”

The review is based on a thorough assessment of all relevant literature, focusing on studies that covered fat conservation, fat augmentation, fat repositioning, orbicularis retaining ligament (ORL) release, septal reset as well as the use of fillers in deep cheek fat compartments as means to obtain aesthetically pleasing lid-cheek junction. The article encompasses an analysis and a discussion of a final total of 22 studies that met the inclusion criteria and that focused on assessing the aforementioned categories. The earliest study was from 1987 and the most recent from 2014.

Based on the evidence, the authors conclude that restoration and blending of the lid-cheek junction for facial rejuvenation particularly relies on various components of periorbital aging that must be addressed. The authors acknowledge that blepharoplasty still plays a central role in lower eyelid rejuvenation but that advanced knowledge of the anatomy has triggered an evolution and a different perspective.

“Traditional blepharoplasty has a role in lower eyelid rejuvenation; however, with the enhanced understanding of facial aging and the fat compartments, it is time to consider blending the lid-cheek junction in modern periorbital rejuvenation,” they conclude.


About Rod J. Rohrich, M.D., F.A.C.S.

Dr. Rod Rohrich is board certified by the American Board of Plastic Surgery and has a global  clinical practice at the Dallas Plastic Surgery Institute. He is the Founding professor / Chairman of the Department of Plastic Surgery at the University of Texas Southwestern Medical Center at Dallas. He has served as the President of the American Society of Plastic Surgeons (ASPS)- the largest society in the world of board certified Plastic surgeon, the  Association of Academic Chairmen of Plastic Surgery,  as well as the President of  the Rhinoplasty Society. He was a Founding member of The Rhinoplasty Society. Dr Rohrich also Chaired the Residency Review Committee of Plastic surgery – the key group that monitors the quality of Plastic Surgery training in accredited training programs in the USA. Dr Rohrich also served as a member of the Board of Directors of the American Society for Aesthetic Plastic Surgery (ASAPS) ,Plastic Surgery Educational Foundation  and the American Society of Maxillofacial Surgeons. He was a Director of the American Board of Plastic Surgery (ABPS) chair of the Oral Exam Committee and President of the Dallas Society of Plastic Surgeons as well as the Texas Society of Plastic Surgeons. He is also a founding member of the Board of Governors of the National Endowment for Plastic Surgery. Dr Rohrich is also the Co Founder of non profit AIRS Foundation which helps  educate, fund and advocate for women with breast cancer who desire  breast reconstruction but don’t have the resources to do so.

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