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Large Eye Bags After Fat Injections on Lower Eyelids

I had a midface suspension (midface lift) and upper Blepharoplasty 16 months ago. My lower eyelids were fine, I had no bags. My doctor kept injecting fat into my lower eyelids ONLY (2.5cc, 3cc, 1.5cc) over 6 months, saying he was injecting it under my eyes to help my mid-face. I did not have hollow eyes and my mid-face was fine after the surgery, but I had these huge, huge bags under my eyes and had to undergo a lower Blepharoplasty which I never needed before. Where is fat supposed to be injected?

Asked 33 months ago by drlaser in austin, tx

Read my review "Fat Injection Lower Eyelids for Midface Suspension"

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+1

Lower Eyelid Bags

Fillers such as the patient's own fat are used to fill depressions along the bony rim of the eye socket. Many times the mid-face lift will actually fill those grooves. On other occasions fillers are placed in addition to the lift, preferably at the same time. Certainly this can be done after the original procedure.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Fat injection lower lids

Fat injection salong the tear trough and lower orbital rims is the goal. However, sometimes it gets lumpy and doesn't take evenly. 
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Facial aging has many components

Many people think that facial aging is limited to skin drooping, wrinkles, furroughs, uneven complexion but few realize that this is only 30% of the problem. Fat also disappears from the face and the facial skeleton looses its robust support. Your surgeon should assess all three layers in order to formulate a "flight plan" for you, which you, ultimately have to understand and accept. Structural fat grafting is used widely to restore the youthful fullness, especially in the... more
Lavinia Chong, MD
Orange County Plastic Surgeon
+1

Injections to the tear trough of the lower eyelid

 The tear trough is the proper location of injections to add volume to the lower lids.  This is the deep groove right along the bone rim.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Fat injections in lower eyelids need to respect individual anatomy

Hello SXSW, Autologous fat injections can be a very effective procedure for correcting and augmenting the lower eyelid / nasojugal groove areas. Without knowing exactly what kind of midface lift you had or seeing your pictures, I am going to have to make some assumptions here. Based on your history, if your lower eyes never had "bags" then I am going to presume that the fat was injected in order to provide a smoother transition between the lower eye area and upper cheek area... more
Kamran Jafri, MD
New York Facial Plastic Surgeon
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