Blepharoplasty Revisions for Hollow Upper Eyelids

asked 10 months ago by July4 in USA
Latest answer by Michael Law, MD
Question viewed 490 times
Tags: upper eyelids, female, hollow, options, revision

After Blepharoplasty surgery creating hollow upper eyeslids. What is the best repair option for hollow eyelids. Pearl fat grafting or fat transfer? What is the risks and benefit's of each options? How long after the initial surgery should you wait for the revisions?

7 answers to Blepharoplasty Revisions for Hollow Upper Eyelids

Hollow eyelids- correction with fat grafting

Many of my brow-upper lid junction structural fat grafting patients have come to my practice for the correction of hollowness created by the over-zealous removal of fat during an upper blepharoplasty surgery. I am continually amazed at how many cosmetic surgeons practice 1970's-era blepharoplasty surgery in the 21st century. I almost never remove upper lid fat during blepharoplasty surgery, and in many cases I actually add fat at the brow-upper lid junction. Fortunately, essentially all... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fat pearls vs fat grafting vs fillers

Please be careful when a surgeon says: "this is the ONLY way to do this". It shows a certain arrogance and stubborness that are not ideal qualities in surgeon, or anybody for that matter. There are many different ways to "skin a cat". It depends on the surgeons training and experience. If one surgeon has not had success with a specific technique, it is not necessarily the techniques fault, it could also be "operator error". Having said that, any... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Be careful looking for help for this.

Cerro Fat pearls are completely impractical as a solution for this problem. The reason is that they create new scar tissue where they are placed and are completely unpredictable in how they survive. This is a formula for needing more surgery in the upper eyelids. Fillers can help to a degree. While the service does not last forever, it may work for more than a year and, in some cases, for two years. However, the treatment is an advanced method so you will... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Sleepy Hollow: The Story of Set Upper Eyelids

Deep set hollow of the upper eyelids are best treated with fat injections to provide correction. The reason why the hollows are present is usually due to aggressive fat removal. " REPLACE LIKE WITH LIKE". Fillers can be used but my preference would be to start with fat. Good Luck

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Blepharoplasty revision.

Before doing any surgery, have an experienced surgeon fill the hollow with saline to see if you like it. It swill go away in a few hours. If you like that you can use Juviderm which is reversible and has the least downside!

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Brow/eyelid volume augmentation

Your options include fat transfer and other injectable filler (Juvederm, Restyalne) injection. One is a surgery and permanent, the other is temporary. Fat pearls can be used but fat transfer can do the same thing with minimal invasive approach.