Drooping After Fat Grafting on Hollow Upper Eyelid

I had fat grafting for hollow upper eyelid area in one eye, in July 2008. I know that some droopiness is expected following such procedure, but can it be more pronounced in one side of the eye (inner in my case), where more fat was grafted due to the nature of my problem? Should I give it more time before evaluating for final result? Thank you in advance.

Tags:

Comment on this

6 Doctor Answers | Asked by karkinos in Cyprus

Doctor Answers (6)
Community Comments (0)

Upper eyelid fat grafting

After six months, patients have usually reached their stable plateau and it is time to assess the final results. You may wish to go back to your original surgeon and get their opinion on what is going on. No doubt they will assess the upper eyelid opening muscle (levator), preoperative eyelid position, and assess for scar tissue formation, dynamic function of the upper eyelids, brow position, orbital set (how prominent the eyeball is), lower eyelid position, etc. If an excess of fat has... more

Drooping upper eyelid after fat grafting

The upper eyelid may droop a little bit after fat grafting secondary to swelling. This may take several months to improve.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Fat Grafting to the upper eyelid

Fat Grafting to the upper eyelid can be a great way to rejuvenate the eye, especially with the hollowed out look some people get. However, injections should always be on or above the orbital rim, not on the eyelid. i am not sure of your issue, but swelling should resolve within 3-6 months after the procedure.

Fat grafting around the eyes

Fat transfer to the face in the area around the eyes and it is an extremely powerful and effective technique. Because this area is so sensitive to even small changes in volume, it is essential to work with a plastic surgeon is a great deal of experience in fat grafting techniques, blepharoplasty, and facelift procedures. Your plastic surgeon will be able to determine how much fat is necessary to obtain the result you're looking for. Whenever fat is subject to these areas, it is... more

Fat Grafting, occassional touch ups can help

Structural fat grafting is a procdure , in which small amounts (less than 0.1 cc at a time) of fat are carefully microinjected in a series of discrete layers to gradually 'build' new soft tissue structure. As there is space between each microinjection, new blood vessels are able to grow into the grafted fat, allowing it to persist. If this process of blood vessel ingrowth (neovascularization) does not occur, then the injected tissue cannot truly be considered a 'graft'... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fat graft survival is difficult to predict with accuracy

Predicting fat graft survival is similar to predicting how many seeds will sprout when planting. In order to get one plant, you typically place 2-3 seeds per site. Same goes for fat grafting, we oftentimes "plant" 2-3 times the final desired amount anticipating that some will not survive. Occasionally more survives than we would like and we need to remove this. At this point, your fat has likely survived, perhaps in excess of the desired amount. Consider discussing this with your... more