Fat Transfer: Q&A
Ask a QuestionFat Transfer for Under Eye Hollowness Following Lower Bleph?
Six months following a lower bleph I have developed hollows on the outside corners of my eyes. The area is the actual fat pads right under my rims and not the tear trough and is starting to cast dark shadows. Can this area be filled? Injection or open? I am devastated and don't want to make another mistake. How long should I wait, and I would appreciated knowing who is very experienced with fat transfer in the undereye region. I live in the northeast, but would consider travel. Other options?
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9 Doctor Answers |
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Anxious in Avalon
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Hollow Eye After Blepharoplasty - Composite Fat Grafting Best
Thank you for your important question. Hollow Eye after Blepharoplasty is caused by the removal of too much fat during the Blepharoplasty operation.
Hollow Eye after Blepharoplasty is different from Dark Circles Under Eyes. The fat is missing from deeper in the orbit-the bony cavity that supports the eye ball.
Fat must be placed into the orbit beneath the eye ball.
Needle injection of filler or fat into the orbit is risky in my opinion and results are unreliable.
I use a...
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Under Eye Hollows
With aging some of the fat that normally cushens the eye drops forward causing slight swellings under the eye. The blepharoplasty involves carefully removing some of this fat to help flatten the area between the lash line and the bony rim.
This isn't the only problem with aging, however. As the check fullness falls it pulls on the eye complex worsening the contours that have developed. With that said, removing the fat is only part of the solution. ...
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Fat or filler
FOr the area of concern you describe, there are two options fat or filler [restylane/juverderm], depending on your preference. The upside to fat is that it is permanent [once the initial 40-50% has resorbed which happens by three months]. The downside is that it is much less forgiving and technique is very important because reverse is not easy.
With fillers, it is much more forgiving: it can be molded, and it can also be easily removed if you are unhappy with results. The downside is...
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Correctling hollow lower eyelids with fat grafting
Lower lid hollowness following an overly aggressive lower blepharoplasty can be improved by means of fat grafting. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery.
Many patients...
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Re-rejuvenation with non surgical blepharoplasty (FAMI)
The classical blephorplasty remove the orbital fat needed to support the eye ball and generally skin and Orbicularis muscle which seem in excess.
To rejuvenate the eye region the good treatment is the bone receding restoration and the injection of the SOOF (Sub-Orbicularis Oculii Fat pad) with adipose extracts (SVF=adipose vascular fraction). When surgical bleph has been done, the resection of the skin, muscle and fat has made the eye region more aged! Therefore, the solution for your...
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Under eye fillers after blepharoplasty
Dear Anxious,
-You have 2 good options (in my experience), surgical and non surgical
-If it is just the outside part of the eye socket, it usually does not take much to fill this area out
-Restylane is a great non surgical way to fill it out and results can last 1-2 years
-If you want something more permanent, a fat transfer is a great natural looking filler
-If you have ever considered fillers elsewhere (cheeks, smile lines, around the mouth), you can do multiple areas...
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Lateral lower lid hollowness after blepharoplasty
It may be possible to improve your lower eyelid hollowness by using fat grafting techniques. A skilled fat grafting surgeon should have experience in treating this area. Check out my link below to learn more about fat grafting.
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Fat transfer effective in post surgery lower eyelid hollow
Lower eyelid hollowness after a blepharoplasty can be due to a couple of reasons. The most obvious one is removal of fat beyond the optimal amount. The other is mismatch of the eyelid fat and the cheek fat. Most often there is a depression along the bony rim of the socket toward the out side of the lower eyelid before the operation. This is the gap between the eyelid fat and the cheek that happens with age or by nature. If you take out the eyelid fat to match...
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San Francisco Plastic Surgeon
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Under eye hollowness
It sounds the hollowness happened after the lower lid surgery. So one will assume that too much fat was taken, or fat was taken where it did not need to be taken.
It can be corrected with fat transfer. However now you have a scarwhere the fat is to be injected and the results are slightly less predictable because of the scars. You may need more than one session of fat transfer. Make sure the fat is injected with a blunt cannula, and should be placed deep to the muscle. the fat transfer...
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Baltimore Plastic Surgeon
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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