I Have Bags and Uneven Eye Lids After Blepharoplasty. What is the Best Way to Correct This? (photo)

I had an upper and lower blepharoplasty two months ago. However, I still have bags and troughs. I would like input on the best way to go about correcting this? My Dr suggested fat transfer to add volume back into the trough area. I feel like fat repositioning is a better option as there are still bags under both eyes, & adding fat will put me pretty much back to where I started. Is it true that much of the fat dies after transfer? I would also like input on revisions for the uppers.

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8 Doctor Answers | Asked by Sue from AZ

Doctor Answers (8)
Community Comments (0)

Alternatives to risky fat transfers/grafts to add volume to the delicate under eye area

It is very important that you and your doctor have a clear understanding about the asymmetries that pre-existed in your face. One of the most common things before surgery is that people have specific complaints about very dominant features that draw attention such as hooding over the eyes and fat pockets under the eyes. After surgery, they study their faces extremely and carefully, noticing a lot of things they didn’t notice before. I explained in my book, “The Fine Art of Looking... more

Fillers for lower eyelid bags

I think you should first try som fillers to fill in the harsh junction between your nasal lower lid and cheek. This may soften the dark ridge in your photo. Juvidern, Belotero and Restylane are good choices. If this doesn't work, a fat transposition lower lid blepharoplasty may help. Good luck. I have helped many patients in your boat and there is hope for improvement.

Two options

There are two ways that one can go about addressing this problem. If you surgeon is experienced with fat repositioning, then a transconjunctival approach would certainly be a good option. In someone that has already had the lower eyelid fat manipulated, this may be a more challenging technique, as there may be some scarring that may make the fat less mobile. In that case, it may be easier to do a combination fat excession, with adjuvant fat grafting to tear trough and cheeks. The... more

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Lower eyelid surgery

Dear Sue from AZ, I like using fat transfer to fill in hollows You are probably not a candidate for fat repositioning as they were likely removed during the first surgery The little amount that is left may not be adequate or reliable (due to prior surgery) to get the result you are looking for I would wait until the 6 months mark when all of the swelling has gone down before undergoing surgery again Best regards, Nima Shemirani more

I Have Bags and Uneven Eye Lids After Blepharoplasty. What is the Best Way to Correct This?

Sorry for the poor result on your lower lids. try fillers first to see if the correction is what you want. Than fat re positioning or grafts are the next step.

Blepharoplasty and bags

At two months, you still may have swelling. I would give it more time to heal. If after 6 months or so, fillers can be gently placed to camouflage some issues.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Two months is enough!

Two months is enough! Consider getting a copy of your operative report and seek out an Occuloplastic surgeon in your area. Yes, you have several options but, an examination and review of your records would determine your best course. Best, Gary R Culbertson, MD, FACS

Revision blepharoplasty works.

Hi. I would wait another two months and then get another two opinions. There are several options that may help you. Cannot tell you much more without examining you.