The Use of Phosphatidylcholine for Correction of Lower Lid Bulging Due to Prominent Fat Pads

BACKGROUND Patients with prominent periorbital fat pads often complain of having a persistent “tired” look and seek treatment from their dermatologist. OBJECTIVE A non-surgical treatment of fat pads. METHODS Thirty patients were treated for prominent lower eyelid fat pads with phosphatidylcholine injection. Pre- and posttreatment photographs were taken for long-term analysis. RESULTS A marked reduction of the lower eyelid fat pads was noted over the 2-year follow-up period. There were no recurrences. CONCLUSION The injection of phosphatidylcholine (250 mg/5 ml) into the fat pads is a simple office procedure that may postpone or even substitute for lower eyelid blepharoplasty.