Managing postseptal fat in periorbital rejuvenation: Anatomic intraorbital replacement using passive septal tightening

The authors provide their perspective on managing postseptal fat in lower lid and midface rejuvenation. Using the concept of “passive septal tightening,” the technique corrects “apparent” lower lid fat excess by restoring the fat to a more youthful intraorbital position. The potential surgical trauma in the critical plane between the orbicularis oculi and septum is avoided, minimizing the risk of middle lamella scarring and postoperative lower lid malposition.