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Can Eye Bags and Fat Be Removed Without Blepharoplasty?
I have had two eyelifts on the lower lid and there is not a lot of elasticity left. However, I have fat under one eye and would like to if possible have it removed. Is this possible?
Asked 43 months ago by
kentkitty in 44136
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Multiple lower lid surgeries
The most important advise for you at this time is to make sure you are seen by an Oculoplastic surgeon. I agree with others, It is impossible to answer your question without examining you first. Make sure you do your research before having any other surgery.
Los Angeles Oculoplastic Surgeon
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Nonsurgical Eyelift for Lower Lid Bags
Lately, an increasing number of lower eyelid bags, crinkles and crepeyness, dark circles, and tear trough derformities are being treated without surgery, i.e. a nonsurgical lower eyelid "blepharoplasty."
Before explaining how the treatment works, it is important to understand how many of the above problems come about. In youth, a robust, heart-shaped fat pad sits squarely a couple of millimeters under the lower lid. This fat pad is convex, and extends in the direction of...
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Transconjunctival lower lid surgery may be best option
Transconjunctival blepharoplasty is a procedure which uses a small incision inside the lower eyelid to remove any excess fat. No skin is removed and this is generally a good technique especially for revision blepharoplasty. I would suggest a few consultation appointments with some skilled physicians whom upon examination will advise you of your best alternatives. You want this to be your last and final! Best regards!
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Revision Blepharoplasty with Remaining Fat
It is in fact possible to conservatively remove a small amount of remaining fat, without needing to do a lot of surgery.
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Blepharoplasty-surgical changes to the eyelid area
The term blepharoplasty refers to surgical modification to the eyelid area. The surgeon may remove skin or fat, or even add fat. All of these procedures are considered blepharoplasty.
Since the eye floats in the bony socket on thick fibrous fat, as the membranes relax the fat drifts forward. It is not unusual for some fat pockets to be stubborn. if the doctor takes out too much, the eye can look hollow, so being conservative is a good thing. Persistent fat pads can be removed...
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Atlanta Facial Plastic Surgeon
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Eyelid surgery with minimal trauma
After two eyelid surgeries you must have a great deal of scare tissue. If you worrisome fat pocket is confined to localized are, I would suggest a transconjunctival approach to your problem. This type of surgery doesnot require a skin incision in your lower eyelid but one on the backside of the lid. A small incision is made and the offending fat can be removed without leaving a trace that the procedure was ever performed. This is you easiest and direct...
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Eyelid bags correction without surgery
There are no ideal ways to remove eyelid bags without surgery. But most important question is whether the deformity of your eyelids in fact is caused by the bags. Only a skilled and talented surgeon can determine that, so choose wisely if you should undergo yet another surgery.
Nevertheless answer your question, one can try to dissolve the fat with mesotherapy. This has been to shown to work, although inconsistently and unpredictably. Another method is not to...
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Lower eyelid revision
Skin and fat removal really isn't the best way to treat lower eyelids. If you have had this done twice you may have a hollow skeletonized lower eyelid that pulls or is rounded.
Lower eyelid improvement is about two things, the shape of the underlying tissue and the quality (not quantity) of the overlying skin. Extra skin is almost never the cause of lower eyelid problems and taking skin out rarely results in improvement and is risky for complication...
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Revision blepharoplasty is difficult.
Hi.
You need evaluation by a real expert. Of course I don't know without examining you, but I suspect what you are seeing is not excess fat. You may already have had too much fat removed. Whatever you need is not simple. Sorry!
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Careful transconjunctival blepharoplasty with fat repositioning best option
Revisional lower eyelid blepharoplasty is always complex and more risky than a first time blepharoplasty. The biggest risk of revisional blepharoplasty of the lower eyelid is weakening of the lower eyelid support by the incision on the outside of the lower eyelid which can lead to ectropion and change in eyelid shape.
The transconjunctival lower blepharoplasty uses an incision on the inside of the lower eyelid, thus lower eyelid support is preserved.
Persistant eye bags after two previous...
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Can eye bags and fat be removed without blepharoplasty
Transconjunctival lower blepharoplasty with conservative fat removal with or without appropriate fat repositioning is often the procedure of choice if significant deformity is present.
For minimal pseudohernias, a procedure called transcutaneous fat cauterization using a # 22 or 23 IV catheter inserted into the fat pocket under local anesthesia can be done by an experienced surgeon safely.
The fat is cauterized using low power settings and usually no pain is felt. There is some...
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Be very careful about fat removal under eyes
A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed...
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Transconjunctival fat removal could be the answer
Multiple lower lid surgery increase your chances for having complications. If you had two previous surgeries and still have some fat deposits, it seems that a transconjunctival fat removal is an ideal answer. A canthopexy procedure might need to be added for better lower lid support.
There is also a procedure to remove lower lid fat from an upper eye lid approach (the no touch technique), however this limits the fat manipulation. Hope that helps!
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Removal of Eyelid fat without an external incision
Yes, it is possible but this is semantic.
There is a technique called the transconjunctival blepharoplasty procedure whereby the fat is removed via an incision on the INSIDE of the eyelid. There is no external incision. The inside incision does not generally require stitches. I have used this to remove fat on individuals who have undergone previous blepharoplasty and have no extra skin but persistent fat.
There are some reports of using electrocautery to "melt" the fat...
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You must be seen to be evaluated.
I agree with the prior doctor. You must be seen and evaluated by an experienced plastic surgeon or occulo plastic surgeon. Usually excess fat is corrected in one operation, sometimes you need a minor touch up -- but before going for a third surgery an experienced surgeon should see you.
Is it really fat, are your lids loose or tight. Easy, over the internet answers are not available.
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Multiple lower lid surgeries
This is a question that is almost impossible to answer without seeing you for a consultation.
I would recommend you go to an experienced surgeon, and perhaps talk to several surgeons about your options. In general it is possible, but it will probably require another surgery, and having a third surgery on the lower lids should not be taken lightly.
Seattle Facial Plastic Surgeon
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