What is Transconjunctival Open Composite Fat Grafting?

First let me thank you for suggestions on revision eyelid surgery. It has taken me 7 years to get here. You mentioned Transconjunctival Open Composite fat grafting. Is it another form of injectable filler? Please explain.

I have done much reading, find injectable filler is only a temporary fix, and most fillers are absorbed. Even your own body fat leaves only a small percentage permanantly behind.

If yours is a fat transfer, much like a skin graft, only fat strip graft placed under skin, it is supposes to be most effective. Finding a surgeon to perform this, not so much. I travel to Cape Cod annually.

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2 Doctor Answers | Asked by Vickisue in Florida

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Open composite grafting is not an injection but a piece of fat is surgically transplanted

Injection techniques around the eyes are "blind procedures" and accuracy is difficult to achieve. Injections around the eyes are traumatic and often leave visible lumps and discoloration of the eyelid skin. Blindness has been reported following filler injections around the eyes-the filler material enters a blood vessel and disrupts blood supply to the retina. Fat injection techniques kill a great many of the injected fat cells so that survival of the fat is very difficult to... more

What is Open transconjunctival composite fat grafting?

Without getting into the relative merits of open versus injectable fat grafting, here's a definition. By "open" it is meant that an incision is made. This is in contrast to injectable technique, where a needle is used to introduce the graft. Transconjuctival means that the tissue is introduced through the conjunctiva, which is the inside layer of the eyelid, that which is in contact with the globe of the eye. Composite tissue has two or more types of tissue layers. Examples are... more