Is Fat Redraping Same As Fat Repositioning to Address Eye Hollowness and Bags? (photo)

asked 4 months ago by essence1981 in Washington, DC
Latest answer by Robert Brueck, MD
Question viewed 378 times
Tags: alternative, eye bags, hollow, technique

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?

11 answers to Is Fat Redraping Same As Fat Repositioning to Address Eye Hollowness and Bags? (photo)

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.

Robert Brueck, MD
Fort Myers Plastic Surgeon

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.

Steven Wallach, MD
Manhattan Plastic Surgeon

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... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

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... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

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.

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

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 more

Trevor M. Born, MD
Toronto Plastic Surgeon

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.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

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... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

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... more

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

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... more

Chase Lay, MD
Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Fat redraping and repositioning are the same in blepharoplasty.

Redraping or repositioning fat during a lower lid blepharoplasty refers to the same technique of smoothing the bulging area beneath the lid. I only rarely remove fat because I find that repositioning and tightening are usually sufficient. I do not recommend soft tissue fillers to correct the issue in your photograph.