15 Years of Upper Eyelid Micro-fat Graft: the Good, the Bad and the Ugly.

[UNLABELLED] This report is the product of investigation to review the result of Micro-fat graft (MFG) for upper eyelid rejuvenation compelled by Dr. Mark Codner and discusses the variety of suboptimal outcomes and rationale for their occurrence.

[METHODS] This retrospective review included 1047 patients who underwent upper eyelid rejuvenation between 2001 and 2016.

[RESULTS] The follow-up ranged from 3 to 190 months. Twenty-one patients were judged to have bad outcomes, and on four patients, the results were categorized as "ugly". These undesirable outcomes are categorized and discussed.

[CONCLUSION] This report documents a variety of poor outcomes and the rationale for their development over a long-term follow-up and discusses the way in which these can be minimized.

[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 .