Eye Bags Treatment: Q&A
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Lower Eye Fat Removal and Fat Graft (Re-Draping)? (photo)
Hello. I saw a PS about eye bags. He recommended a transconjunctival bleph with fat graft or "redraping" as he often said. He said he would cut a ligament and graft some of the fat down into the eye trough area to a bone somewhere around there. He said just removing some fat would not completely help the eye trough. Can you look at my pics and give your opinion as well? And if you agree, how good have your results been with that procedure? I want to do it but this is my first time.
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6 Doctor Answers |
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Sunset2Sunrise
+2
Transconjunctival Lower Blepharoplasty
There are many different approaches to performing lower lid surgery. A simple transconjunctival removal of the herniated fat pads will give patients a better lid/cheek junction and you may not need any fat graft in that area
+2
Lower eyelid fat redraping
There is no one way to do lower eyelid surgery. Certainly the option that you have described is a reasonable one. Another possibility is to remove the fat in a judicious manner and perform a micro fat transfer to the hollow beneath the eyelid. Both procedures work quite well if they are done by someone with a high level of skill and knowledge
+2
Reasonable approach
From what you have described, its hard to know which technique your doctor is advocating. One way is to do a transconjunctival approach, but instead of removing the fat, repositioning it into the tear trough.
The other technique is to remove the fat, and then harvest fat from elsewhere and inject it deep to the muscle in the tear trough region.
Both techniques have merit, and as long as the surgeon is experienced and comfortable with the technique, you should have nice results.
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Second opinion on fat graft and transconjunctival blepharoplasty
Different surgeon have different approaches depending on their experience with various procedures. I would recommend a transconjunctival lower lid blepharoplasty to remove the bulging fat. Once you have healed from surgery, if you are still bothered by the depth of the tear trough hollows, I would inject a filler such as Restylane to fill in the tear trough area. While this approach may be more conservative, it comes with lower risk, less recovery and has a more predictable outcome.
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Palm Beach Facial Plastic Surgeon
+2
Blepharoplasty# #cosmeticsurgery
Dear Sunset2Sunrise
Thank ypu for your question and photos.
The procedure you are describing is excellent. I perform a similar surgery for patients like you and have had tremendous success over the years.
Good luck!
With Warm Regards
Trevor M Born MD
+1
Get a second opinion, and look at the doctors' work
Thank you for your question. You are asking for other opinions other than that of your current doctor, and this can generate a lot of different answers and even conflicting opinions. As a specialist in cosmetic procedures in the eyes and face, I can say that what your doctor recommends is certainly reasonable for people who want to address their large under eye bags.
Something I want you and others to know who are considering a cosmetic procedure is this - cosmetic surgery is...
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