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Raising the suborbicularis fat (SOOF)
  1. Oculoplastic Service, The Rotterdam Eye Hospital
  2. PO Box 70030, Rotterdam, Netherlands

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    Editor,—The paper by Olver1describes nine consecutive patients suffering from sagging of the lower eyelid due to facial palsy, in whom lifting of the suborbicularis oculi fat (SOOF) was added to the usual treatment with the lateral tarsal strip procedure and, if indicated, medical canthal tightening. Based on observation of her results, the author concludes that SOOF lifting both supports the elevation of the lower eyelid and enhances the cosmetic results. However, the study offers no clear data on postoperative lower eyelid height or any comparison of her results with reported data on the tarsal strip procedure …

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