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 mi) into the fat pads is a simple office procedure that may postpone or even substitute for lower eyelid blepharoplasty.