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Undereye Fat Transfer: Is It Better to Undergo Local Liposuction or Moderate Kenalog Injection to Reduce Uneven Fat Transfer?

asked 1 year ago by mbalta in tucson, az
Latest answer by Edwin Ishoo, MD
Question viewed 123 times
Tags: kenalog, options

Undereye fat transfer: Is it better to undergo local liposuction or moderate kenalog injection to reduce unevenness in a fat transfer procedure?

2 answers to Undereye Fat Transfer: Is It Better to Undergo Local Liposuction or Moderate Kenalog Injection to Reduce Uneven Fat Transfer?

+3

Correcting uneveness with fat transfer to tear trough

In cases like this, it is of course more helpful to see a photo; exam in person is key for appreciating the 3D contours. Nevertheless, it would be more reasonable to start with a dilute kenalog injection to correct nodularity after fat transfer. Risks include dermal depression and thinning if injected too superficially, as well as telangectasia (broken blood vessels visible on skin). If there is too much fat in an aesthetically unappealing area, then direct surgical excision is best,... more
Edmund Fisher, MD

Los Angeles Facial Plastic Surgeon
+1

Uneven fat transfer

It depends on how long ago you had the injection. In the initial 2-3 weeks it is not uncommon to have some asymetry but if its been months and you have a noticible difference under your eyes, there are several options. You can have additional soft tissue injected to the deficient side to achieve better symmetry. You can also try to reduce or remove the excess fat by steroid and/or 5-FU injections. Steroids can also cause subdermal lipoatrophy that can create skin dimpling. You can also have... more
Edwin Ishoo, MD

Boston Facial Plastic Surgeon

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