Dermis Fat Graft (DFG) for Superior Sulcus Volumetric Rejuvenation

Aging changes of the superior sulcus require unique considerations for rejuvenation. The superior sulcus is in close proximity to the globe and orbital structures, and therefore modifications present challenges that are not encountered elsewhere on the face. Muscles of the eye and lid, and their associated nerves, pass in close proximity or directly within the superior sulcus. The superior sulcus is also the location of the lacrimal gland and the superior ophthalmic vein. Disruption of these structures can result in a spectrum of minor deleterious cosmetic alterations to vision threatening side effects. Dermis fat grafting may be utilized independently or concurrently with other facial rejuvenation procedures to improve periorbital volume and cosmesis.