Eyelid Surgery: Q&A
Ask a QuestionIs Fat Redraping Same As Fat Repositioning to Address Eye Hollowness and Bags? (photo)
I'm considering to do lower eyelid surgery and the doctor said that he can do conservative fat removal and fat redraping. I fear that since my eye is prominent it may sag the lower eyelid and show more of the white are of my eyes. Would Restylane suit better for my eye anatomy?
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11 Doctor Answers |
Asked by
essence1981
in Washington, DC
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Sagging eyes
I think you have a tendency for your lower eyelid to retract and so when the doctor does your eyes he amy want to tighten the lower lid with a canthoplasty or canthopexy.Fat addition would help as well.
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Fat redraping or filler
Fat redraping may help some areas of depression near the orbital rim but the fat has a hard time reaching the tear trough region. You may need both.
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Blepharoplasty
What I see in your posted photos is a visible tear trough especially on the right, a very slight fat bulge on the right and slight muscle bulges just under the eyelashes more so on the right in the no smile. In the smile the fat bulges become more prominent as do the muscle bulges especially on the right. In my experience fat removal through incisions inside or outside the eyelid will create a hollowed out skeleton appearance. Redraping or repositioning the fat over the bone rim under the...
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Los Angeles Plastic Surgeon
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A combination of techniques may your ideal solution.
There are many ways to achieve the desired result here, and different surgeons may offer different approaches based on their comfort level and experience. Both injectible fillers [Resylane and Juviderm] as well as fat transfer can be used to address you problem. With fillers alone, it is a bit more challenging to achieve the ideal result and may need a few syringes for both sides.
One technique that has yielded excellent results, is a combination of conservative fat excision, with fat...
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Lower eyelid bags
Fat redraping (or lower lid fat transposition) should not alter the lower eyelid position if done correctly, and it is a good option for you. As you suggested, filler injection is another option. Consult an oculoplastic surgeon.
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Eyelid surgery, #blepharoplasty, #tiredeyes, #fatgrafting, #restylane, #beauty
Dear Essence 1981
Thank you for your question! The shaping around the lower eyelids is very important- just as important as the eyelid surgery... adding the volume under the eye eliminates the hollow and provides support for the lower eyelid- preventing the increase in white show. With the surgical approach Fat Grafting gives great results. Non surgically you have Restylane placed on the deep layer to correct the hollow.
With Warm Regards,
Trevor M Born MD
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There are a number of good options. As always it depends on the skill and experience of the doctor.
I have had excellent results in many patients like you with conservative transconjunctival laser fat removal for the lower eyelid bags. Redraping is another good approach. Seek consultation with a respected eyelid surgeon and ask to see lots of before and after photos of patients who look just like you.
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Fat re-positioning in lower eyelid surgery
There are many different methods used to correct the lower eyelids. In many individuals fat repositioning or fat redrapping is appropriate. Also it appears that you have some thickening of the muscle as well. A possible treatment plan may include tightening of the muscle with fat repositioning. Of course an exam would be needed to give you a precise answer. Juvederm or Restylane can fill in the tear trough and may improve the transition zone between...
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Is Fat Redraping Same As Fat Repositioning to Address Eye Hollowness and Bags?
The short answer is yes; from your photos, I do not see any skin excess, and a very small amount of fat in the lower eyelids. I treat this quite a bit with fillers alone with excellent results. You can choose a dermal filler like Restylane or Juvederm, or you can use your own fat- which can give excellent permanent results. I agree that you need it transferred to the orbital cheek junction. I dont think you need fat removal, as I believe this will make your eyelid look too...
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Lower eyelid fat redraping vs. removal
Morning Essence,
I share your concerns. You do have a prominent eye with rounded lower eyelids. While it makes for a very pretty eye it is a set up for lower eyelid retraction in your case for two reasons:
1. If your eye/globe is prominent and projected forward the lower eyelid has a tendency to slip a little lower under the eye after some surgeries.
2. You appear Asian, which can make for what's called a "negative vector." This means...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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