Credentials to Look for in a Surgeon Offering Fat Transfer to Under Eye Troughs?

I have bags under my eyes with troughs and am interested in fat repositioning because I think it gives a more youthful look. However, I read it can be risky. What credentials should I seek in a surgeon performing this procedure? Is board certification in only ophthalmology sufficient or is only ABPS sufficient or more important, since fat manipulation/scar technique is involved? Experience-wise, is it necessary that the surgeon perform this procedure every day, or is less often in conjunction with facelifts adequate? I'm early 40's. Thanks in advance.

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7 Doctor Answers | Asked by crystalgurl in NY

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Fat transfer and fat grafting are not the same

Eyelid rejuvenation may involve several different approaches depending on the patient's situation. Many times there appears to be excess fat bulging in the lower eyelid with a deficiency of fat in the, so called, tear trough region. Treatment options may include; removal of eyelid fat, repositioning the eyelid fat into the deficient area, fat grafting from a remote body region, or a combination of the above. The best outcomes are found among physicians with... more

Credentials for periorbital surgery

Rejuvenation of the lower eyelid may involve fat repositioning, fat resection, arcus marginalis work, fat grafting, canthal repositioning surgery, nontraumatized fat-fascial grafts, or cheeklifts. The lower eyelid appearance is also heavily affected by the appearance of the cheeks, the SMAS bulk allotment (affected by facelifts), brow appearance and positioning, etc. A board certified plastic surgeon with expertise and interest in the midface familiar and adept at all the techniques... more

Periorbital fat transfer credentials

There are several approaches to improving the lower eyelid/tear trough region: blepharoplasty with removal of the excess eyelid fat blepharoplasty with repositioning of the fat into the area of deficiency below the eye transfer of fat from another part of the body with grafting (usually via injection) of the soft tissue deficiency. This can help camouflage the visible puffy areas of the lower lid. Several types of surgeons can perform this type of surgery... more

Choosing a surgeon for fat transfer

When receiving surgery under the eyes, remember that a small amount of fat will go a very long way. Also note that even a small amount of overcorrection will be obvious. For this reason, it is essential, to work with a board-certified plastic surgeon who is well experienced in fat transfer techniques and in blepharoplasty and brow lifts as they will be able to recommend which combination is best for you. Commonly, our patients receive a small amount of fat transfer to the tear troughs... more

Experience is key with fat grafting

Surgeons from several different subspecialties perform fat grafting. There is a learning curve with fat grafting techniques so is important to find a surgeon with at least a hundred cases of experience.

Sam Naficy, MD

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Seattle Facial Plastic Surgeon

www.seattleface.com

How to find good surgeon for fat transfer.

Hi. This is such a common question that I wrote an article for RealSelf about how to pick a good surgeon (for a cosmetic procedure such as fat transfer). You can read it on my profile.

Fat Transfer is just an adjunct to blepharoplasty

Fat transfer represents an adjunct to blepharoplasty. Most modern facial surgeons will talk to you about maintaining or adding volume to the lid-cheek junction. This can be done using fat transposition using eyelid fat that used to be removed and discarded or fat transfer. Personally, I prefer the fat transposition approach if a lower blepharoplasty is performed for puffy lids. Rarely, fat transposition and fat transfer are done simultaneously to the same area. In regards to credentials,... more