Evidence map›Paper›PMID 41942640›Full record

ArticleAesthetic plastic surgery2026

Efficacy and Outcomes of Pedicled Upper Orbital Fat Fascia Flap Transposition Using 3D Facial Scanning: A Retrospective Study.

Kai Yang, Zhiyang Xie, Yan Liu, Jue Wang, Qiao Yang

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kai YangDepartment of Medical Cosmetology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Zhiyang XieDepartment of Craniomaxillofacial Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China. zhiyangxie1997@gmail.com.ORCID http://orcid.org/0009-0003-0095-2845
Yan LiuDepartment of Medical Cosmetology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Jue WangDepartment of Medical Cosmetology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Qiao YangDepartment of Medical Cosmetology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSunken upper eyelids convey an impression of fatigue. Pedicled orbital fat fascia flap (POFFF) transposition has been commonly adopted as an effective technique for augmenting upper eyelid volume. Nevertheless, objective quantitative assessments of the long-term volumetric outcomes remain lacking. This study aimed to assess upper eyelid volume changes and evaluate the efficacy of POFFF transposition in restoring volume using 3D facial scanning technology.

methodsThis retrospective study included 43 patients (86 upper eyelids) who underwent POFFF transposition between January 2017 and December 2024. 3D facial scanning was performed at baseline (T0), within 5 days (T1), 1 month (T2), and at least 6 months (T3) postoperative using the VECTRA imaging system. Surgical efficacy was evaluated using 3D facial data from T0, T1, T2, and T3, analyzed with GeoMagic Warp for volume change. Fat absorption rate was calculated with GeoMagic Design X. Patients' reported satisfaction was assessed using the Chinese version of the FACE-Q™ questionnaire scores for eye appearance satisfaction.

resultsAll procedures were successfully performed, with effective three-dimensional correction of the sunken upper eyelids and no major complications. Deviation analysis revealed an immediate postoperative increase in upper eyelid volume. On the left upper eyelid, the volume increased by 223.98±7.01 mm

conclusionsPOFFF transposition effectively increases upper eyelid volume with minimal resorption, providing three-dimensional reconstruction for sunken eyelids. This technique shows promise, especially for patients with mild to moderate upper eyelid sunkenness, though larger studies are needed to determine optimal indications. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Adipose TissueBlepharoplastyEyelidsFasciaImaging, Three-DimensionalSurgical FlapsAdultEstheticsFemaleHumansMaleMiddle AgedOrbitPatient SatisfactionRetrospective StudiesTreatment OutcomeBlepharoplastySunken upper eyelidUpper eyelid augmentation

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.