Eyelid Surgery: Q&A
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Lower Eyes: Should I Get Fat Removed?
some doctors say it is not wise to remove the fat pads unfer the eyes as it will give a person a hollow look.rather pull the excess skin and go with cheek implants. others support it and say it is better to remove it. how does a patient know which way to go?
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16 Doctor Answers |
Asked by
Why me 99
in Parish NY
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Many different techniques
THere are many different techniques to "skin a cat" so to speak. It depends on the doctors training and experience, as well as the patients anatomy on which technique to use. Without seeing your photos, its hard to give a judgement.
In general, be wary of any surgeon that says "I'm the best" or "this is the only right way to do it". Make sure you get a second opinion.
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Fat pad removal of the lower eyes
A photo of your eyes would be very helpful in tailoring the answer to your specific anatomy. That said, in general, maintaining as much volume in the face as possible helps to maintain a youthful appearance. Resection of too much fat can leave a hollowed appearance and a premature aged look. But some patients have very large lower eyelid bags and a sculpting of that fat can rejuvenate the lid. As indicated in the other expert answers, there are a number of ways to...
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Lower Eyelid Lift Fat Removal
It is hard to give you a simple answer with regard to lower eyelid fat removal in your case. I have many ways of sculpting the lower eyelids in order to best suit the patient and achieve the best results given their particular anatomy. Sometimes fat removal blepharoplasty is necessary. In other patients I will not remove the lower eyelid fat but reposition the fat to fill in depressions below the lower eyelid. Microfat transfer is sometimes combined with a lower lid lift...
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Conservative Lower Eyelid Fat Removal
The key to lower eyelid fat management is conservative removal. Some patients simply need to have some of the herniated fat removed to get a good result. In some patiengts it may also be beneficial to not remove it but redistribute over the lower orbital rim to improve tear trough problems. While cheek implants have a role in midface rejuvenation, there are not a substitute for lower eyelid fat removal or provide any aesthetic help in that regard.
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Lower eyelid fat removal during surgery
Without a photo it's really hard to give you good advice. However, I do more eyelid surgery than anything else and it is common for me to take fat or at the very least reduce it with a little cautery. It's wise to be concervative with fat removal to avoid hollowness of the lower eyelids but it's very uncommon. Frankly, many surgeons don't want to go the the effort to remove it because it requires more expertise and more time. FYI, fat removal can add...
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Removing fat
The answer is that there is no way for you to know. As there are differences among the surgeons. It is more important to look at actual results from the doctor you are considering and follow his/her advice.
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Lower Eyelids-Fat Removal or Something Else?
The most important thing you can do is have a consultation with an experienced plastic surgeon who can analyze your particular problem. There is rarely a situation where a "one-size fits all approach" is applicable. A judicious removal of some fat and skin can provide excellent results in properly selected patients. Other patients may require alternative approaches as you have suggested.
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Lower Eyes: Should I Get Fat Removed?
Lower eylid surgery is performed properly when the appropriate amount of excess fat is removed....doing so would not create a hollow which occurs from removing too much fat. Cheek Implants shape the cheeks and can often highlight, not conceal, existing lower lid hollowness IMHO.
How do you know who's opinion is correct? Simple, be sure that the MD that does the fillers or the plastic and cosmetic surgeon you select for Eyelid Surgery or Cheek...
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Treatment of tear troughs and lower eyelid bags
Not all fat pads in the lower eyelids are alike so the treatment cannot be cookbook see this do that. A deeper analysis of the situation is required. Are the pads only present on extreme gaze such as looking upward or do they completely disappear when looking downward? Is there excess skin present in addition to the bulging fat? In some patients it is better to remove the fat, in some patients it is better to place a filler (fat or injectable) into the lower eyelid crease, in some it is...
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Los Angeles Plastic Surgeon
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Fat Pad Removal Under Eyes
I believe that the reduction of lower lid fat pads should be conservative. Excessive removal of lower lid fat pads can result in a hollowed-out appearance that makes blepharoplasty patients look tired or even ill. I see quite a number of eyelid surgery patients who require structural fat grafting of the lower lids to improve that very problem following an over-aggressive lower blepharoplasty in the past.
In some case lower lid 'bags' can be improved by repairing or...
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Fat pocket removal of eyes
I think a conservative fat pocket removal is essential for many patient with bags of their lower lids. This can be done in conjunction with several other maneuvers to rejuvenate the lower lid.
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Fat pads in eyelid surgery
I'm not sure what kind of doctor would make a blanket statement like, "nobody should ever get fat removed from their eyelid fat-pad" but I would suggest you go to a plastic surgeon certified by the American Board of Plastic Surgery. This way you can get all of the facts. A board certified PLASTIC SURGEON can explain why removal of fat in your particular case may or may not be a good option.
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Talk to a board certified plastic surgeon
Talk to a board certified plastic surgeon with experience doing eyelid surgery. There are all sorts of new fads out there, and often they go away. If you have a lot of fat, then removing it is usually the proper way to go.
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You need a personal consultation to determine what is best for your situation.
Lower eyelid surgery can be the absolutely correct choice for a given person. For another person, a filler treatment may be a better approach. So much goes into this decision that one answer is not right for all individuals. Look for a fellowship trained oculoplastic surgeon board certified in ophthalmology. These are individuals with the most extensive formal training in eyelid plastic surgery. The American Society for Ophthalmic Plastic and Reconstructive...
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Fat Pad Removal during Blepharoplasty
There is not a correct answer that applies to all patients. If you have visible fat pads, then the likely recommendation would be removal or repositioning. If your issue is only loose skin or wrinkles, then you likely do not need the fat removed. If you post a picture, then we may be able to give you more specific advice.
Good Luck.
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How to decide on lower Blepharoplasty
You first need to start with finding a highly experienced facial plastic, general plastic or occuloplastic surgeon. Without an examination or at least proper pictures, it is impossible to advise any one as to what they need. If you have significant mid face volume loss and cheek sagging, the a malar, submalar or tear-trough implant will give you a great structural support and provide you with a mid face lift. If you have significant fat bags under your eyes with hollowing between the bags...
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