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Lower Eyelid Bleph w/ Fat Grafting vs. Just Fat Grafting Around Eyes?

asked 1 year ago by miamij in Miami, FL
Latest answer by Michael Law, MD
Question viewed 349 times
Tags: age 35-44, lower eyelids, female, comparison, options

I am 39 year old female. I have been to 3 different plastic surgeons for lower eye puffiness. One recommends just fat grafting around eyes and maybe removing a little bit of fat from the bulge. Another surgeon, who is a facial plastic surgeon, recommends a lower eyelid bleph w fat grafting. And the third surgeon, who is an oculoplastic surgeon recommends canthopexy??? Why so many different opinions?

7 answers to Lower Eyelid Bleph w/ Fat Grafting vs. Just Fat Grafting Around Eyes?

+2

Fat grafting eyelids

Fat injections may be used to smoothen contours of the eyelid cheek junction. Blepharoplasties help reduce excess skin, bulging fat, and excess muscle. Preparation of your surgery plan involves an aesthetic judgement which can vary from surgeon to surgeon.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Fat Grafting Lower Lis Blepharoplaty

Obviously it appears as though there are as many opinions on fat grafting as there are plastic surgeons, and this must be profoundly confusing to prospective patients. A number of physicians have made dogmatic statements about various procedures that may very well represent their own personal experience and preferences, but that do not necessarily provide interested laypersons with a balanced and accurate view of the options currently available for restoring facial soft tissue... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+1

One problem, several solutions.

You have come face to face with the art of cosmetic surgery. There are usually several ways to obtain a result, each with its own pros and cons. My advice to you is to find a surgeon that you feel comfortable with and review before and after pictures of the surgeon's work. Once you feel confident, follow the surgeon's advice, as it will usually provide you with the best result.
Paul Vitenas, Jr., MD

Houston Plastic Surgeon

www.drvitenas.com

+1

Lower lid puffiness treatment

It sounds like a large portion of your puffiness is due to lower eyelid area volume loss. It can be a judgement call whether any lower eyelid bulging fat needs to be removed. Often at your age, just improving the volume helps, but this really needs to be assessed in person. A canthopexy procedure would help to tighten the lower eyelid. Done alone, it wouldn't help with your concern regarding lower eyelid puffiness but is sometimes done in conjunction with lower eyelid... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Improving Lower Eyelid Bags with Surgery or Fat Graft

Hi miamij, Lower eyelid procedures to reduce bags vary greatly, largely due to a patient's unique anatomy, personal preference, and a plastic surgeon's experience & preference. There normally isn't one answer, but rather many good options to rejuvenate the face. Both fat injections and lower eyelid surgery are good options for appropriate candidates. Another option to consider for younger patients like yourself, to further complicate decisions, is facial filler... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Lower Eyelid Rejuvenation - Different Opinions

If you would be able to go to 3 plastic surgeons for a facelift and afterwards look at the result, you would certainly look at 3 different versions of yourself. We base our recommendation not only on your anatomy but also on our own aesthetic preferences. It sounds like, you would benefit from some filling of your tear trough depressions. In order to help you make your decision, have the surgeons demonstrate to you before and after photos of patients of somewhat similar lower lid/... more
Frank P. Fechner, MD

Worcester Facial Plastic Surgeon
+1

Lower lid surgery

You ad so many different opinions because of each persons evaluation of the problem and how to correct it. it  is also based on each individual's expertise with one procedure or the other. In general at today's understanding of aging, is that we loose fat in the face with age.therefore one had to be very conservative removing fat from the face or the eyelids. in the eye lids the nore fat you remove the more hollowness of the eyes you will get. In few conditions some... more
Samir Shureih, MD

Baltimore Plastic Surgeon

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