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Third Blepharoplasty or Fat Grafting for Hollow Eyelid?

I've had 2 Blepharoplasty surgeries, and the last one didn't correct the hollowness. I fear a 3rd surgery may affect muscle function and cause ptosis. Can surgery be done inside the eyelid (pink area), or a less invasive method of fat grafting to correct my results?

Can you refer a surgeon in Asia who can do this competently? I can't afford to go to U.S.

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eye hollows upper eyelids

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3 Doctor Answers | Asked by virgo36 in Manila, Philippines

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Fat injections will correct hollowness

Hollowness is the result of too much taken away. Replacement of fat is the only way to correct for this problem. I am not keen on other fillers around the eye area because they can get very lumpy and cause a bluish hue under the skin, making the hollow look worse even if it is improved.

Transconjunctival blepharoplasty with fat grafting is possible

A third eyelid procedure is risky. Repeat external incisions can weaken the support of the lower eyelid and cause an ectropion or sad eyed look. You need to be examined by an expert eyelid surgeon who can asses your lower eyelid support. If you have good eyelid support and good eyelid closure then an operation on the inside portion of the eyelid, called a transconjunctival blepharoplasty may be possible. During this procedure, composite (whole) fat grafts can be harvested form the tummy and... more

Fillers are a good option

I suggest you try a temporary filler, such as Juvederm, into the hollow areas as a trial. If you do not like the look it can be reversed with hyaluronidase, an enzyme, or it will go away over time. Hollowness is best corrected by a filler, rather than more excsion of skin, muscle, and fat. Try not to get fat injection first, since it is not readily removed and it may or may not help you. Good luck. I do not have a recommendation in Asia.

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