Best way to add fat after aggressive lower Blepharoplasty?

The best way to efface the eye cheek junction and reduce post-blepharoplasty hollowness in most cases is not, in my opinion, to perform fat grafting alone. Rather, a minimally invasive cheeklift is performed, elevating the thicker cheek tissue in addition to placing grafts. If you look closely,... more

I use fat transfer from the abdomen to the tear troughs and infraorbital rims, blending it into the upper cheek, routinely to correct this issue. It can be done with local anesthesia or IV sedation, depending on patient preference. I think that careful handling, use of fine injection cannulas, and gentle... more

 Dear Babyjoe You may not need a fat graft to restore your lower eyelid.  Photos would be helpful to know exactly what your issues are.  I would be careful about what solutions are proposed to you and by whom.   Most people in your situation have been somewhat traumatized because they were... more

 Dear Babyjoe, The hollow, operated-look you may have after lower eyelid fat removal is very common. For this reason, I almost never remove lower eyelid fat anymore. I have had wonderful success rejuvenating the lower eyelid with Silikon-1000. This is a permanent filler that is FDA-approved for use in the... more

Hi!  This is unfortunately a fairly common problem that we see in New York.  I assume you look hollow. 1)   For most people with this post blepharoplasty deformity, fat injections are the simplest solution.  The problem is that the success of fat... more

In our experience, fat injection into the tear troughs and deformities after lower blepharoplasty are very successful with good "take" of the fat. If the fat grafting technique in the lower lid region is performed with utmost care, it is placed deep to the muscle layer right superficial to the bone.... more

 Dear Babyjoe, The hollow area under your eye can be filled with Restylane or with micofat injections. Restylane is done in the office with freezing/local and brusiing can last for 7 to 10 days. A very nice correction can be attained for 8 months to a year and a half.  There are risks with this... more

If the lower lids are hollow either by way of surgery or genetics, the treatment of choice is to add that volume-there can also be volume loss with the normal aging process. An easy alternative is to use fillers such as Restylane, Juvederm etc. to add volume. This is done in a chair under local anesthesia and... more

Fat grafting needs to be put back into normal anatomical position, which is into the orbital septum. If it is put in the subcutaneous space it will be felt and possibly seen.