Best way to add fat after aggressive lower Blepharoplasty?

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9 answers to “Best way to add fat after aggressive...”

A: Needs to be put back into normal anatomical position

By William Portuese, MD - Seattle Facial Plastic Surgeon

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.

A: Fat Grafting Lower Lids

By Julio F. Gallo, MD - Miami Facial Plastic Surgeon

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

A: Lower Eyelid Hollow

By Trevor M. Born, MD - Toronto Plastic Surgeon

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

A: Fat Grafting is effective for eye hollows

By Frank P. Fechner, MD - Worcester Facial Plastic Surgeon

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

A: Micro fat grafting with good technique.

By George J. Beraka, MD - Manhattan Plastic Surgeon

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

A: Consider a Permanent Injectable Filler for your lower eyelids.

By Eric M. Joseph, MD - West Orange Facial Plastic Surgeon

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

A: What you need is a surgeon not a technique.

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

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

A: Fat transfer is very effective, but usually needs to be repeated

By Anurag Agarwal, MD - Naples Facial Plastic Surgeon

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

A: Eye cheek junction after blepharoplasty

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

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