I wish to address the superior sulcus hollowing. Which is safer and gives better result? Is filler more likely to cause blindness than fat grafting? Thanks
August 22, 2017
Answer: Hollow superior sulcus Fat grafting and filler are both good options in the hands of an experienced injector or surgeon who understands the anatomy of the upper eyelid. Your concerns about blindness are legitimate because the blood vessels that supply the eye can be injured during injection. Either fat or filler can occlude (block off) these blood vessels and lead to bad outcomes. Some of the ways to avoid these adverse effects are 1) choose a good injector! 2) use blunt cannulas instead of sharp needles to inject, and above all, KNOW THE ANATOMY. Research has been done by prominent plastic surgeons showing that filler actually lasts longer in this area than fat. In fact, filler in this area can last several years and can be diluted or injected in a more precise and controlled manner than fat. I hope this helps! -Dr. Leong
Helpful
August 22, 2017
Answer: Hollow superior sulcus Fat grafting and filler are both good options in the hands of an experienced injector or surgeon who understands the anatomy of the upper eyelid. Your concerns about blindness are legitimate because the blood vessels that supply the eye can be injured during injection. Either fat or filler can occlude (block off) these blood vessels and lead to bad outcomes. Some of the ways to avoid these adverse effects are 1) choose a good injector! 2) use blunt cannulas instead of sharp needles to inject, and above all, KNOW THE ANATOMY. Research has been done by prominent plastic surgeons showing that filler actually lasts longer in this area than fat. In fact, filler in this area can last several years and can be diluted or injected in a more precise and controlled manner than fat. I hope this helps! -Dr. Leong
Helpful
August 21, 2017
Answer: Fat grafting, filler or ptosis repair The cause of the superior sulcus hollowing is eyebrows repose to the eyelid ptosis. This can be treated with fillers or fat grafting. Fat will give better results and more lasting. The other option is repair of the ptosis which requires in person examination.
Helpful 1 person found this helpful
August 21, 2017
Answer: Fat grafting, filler or ptosis repair The cause of the superior sulcus hollowing is eyebrows repose to the eyelid ptosis. This can be treated with fillers or fat grafting. Fat will give better results and more lasting. The other option is repair of the ptosis which requires in person examination.
Helpful 1 person found this helpful