Eyelid Fat Repositioning Vs Fat Removal for Eyebags

Modern Blepharoplasty for Eye Bags emphasizes conservation of tissue including skin and fat.

Older Blepharoplasty techniques removed skin and  aft and ofetne left the eye looking hollow and lid position pulled down=Sad Eyed Look or Houndog Eye.

Today many Plastic Surgeons are using a Transconjunctival Blepharoplasty which is done inside the eyelid and avoids a visible incision and removal of skin.

Rather than removing fat the fat is transferred or grafted into the tear trough area which plumps the dark circle under the eye and freshens the upper mid face.

It’s a great question and one that many are confused about.  I always remove the excessive fat and usually some skin as well.  The concept of repositioning the fat makes no sense to me.  If you have that done you will probably be back eventually to simply remove that fat,  which should have been done initially.  Some plastic surgeons are obsessed with making things complicated but I prefer to keep things simple.  I have irrfitmed thousands of lower lid procedures and have never had s patient complain of removing too much fat or asked for fat to be replaced.  This whole fat repositioning thing is being oversold.

It's not unusual for patients to develop prominent periorbital fat pads with normal facial aging. When this situation arises, a variety of treatment options are available. Both blepharoplasty with fat resection and blepharoplasty with fat pad re-positioning are commonly utilized alternatives. The specific procedure chosen will depend upon the patient's aesthetic goals and anatomic findings. It's important that treatment be individualized to accomplish the patient's goals.Each of these procedures offers advantages and disadvantages. Historically, fat pad resection has been used extensively, but recently plastic surgeons have stressed the importance of fat preservation. This is especially true when tear troughs are present.If you're considering blepharoplasty surgery, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to determine which surgical option is best for you.