Lower blepharoplasty, with lateral canthoplasty, and fat grafting. Am I a good candidate?

Question

I am 57. I have scheduled a facelift with a very reputable plastic surgeon in May. He also wants to address "hollowness" under my eyes that also bothers me. He proposes to do a lower blepharoplasty, with lateral canthoplasty and fat grafting at the same time. I understand that few people are complaining that they ended up with distortions, uneven eyes and few had the actual eye shape also changed Is this procedure too radical in my case, am I a good candidate? Thank you all

Hugo Higa, MD · Answer

A lower blepharoplasty is not unreasonable, but your lids are at the level of your limbus (where the blue iris ends).  Any skin removal may result in retraction.  You may benefit from fat repositioning of the fat from the lower eyelid to the trough just below the fat.  Fat grafting is not unreasonable however.  You should consult with your surgeon to ask his opinion. Cheers

Trevor M. Born, MD · Answer

Dear InafinaThank you for your questions and photos!  A conservative approach would be to fat graft the area under your eyes and transconjunctival removal of any puffing fat from the lower lid. A full bleph of the lower eyelids is not unresonable.With Warm RegardsTrevor M Born MD

Paul M. Parker, MD, FACS · Answer

It looks like you are a good candidate for the surgery being proposed. You might ask your surgeon to show you before and after surgery pictures of patients like you to help re assure you that he can improve your eyes and avoid the distortions to which you refer.

Paul S. Howard, MD · Answer

You have attractive eyes so it is important to get this right. Your surgeon's plan is a solid one. Removing fat from your eyes would be counterproductive. Adding or moving fat for your tear troughs is good. I think you surgeon noticed you have a bit of scleral show and for that reason is considering a lateral canthoplasty. There are a myriad of ways to tighten the lower lids which do not change the shape of your eyes. Reconstructing your orbital septum is probably also in the plan. Most people show better results with fat grafting for the tear trough deformity rather than orbital fat repositioning.Good luck.

Lower blepharoplasty, with lateral canthoplasty, and fat grafting. Am I a good candidate?

Answers (4)

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Answer: Lower Bleph with Fat Grafting

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Lower blepharoplasty, with lateral canthoplasty, and fat grafting. Am I a good candidate?

Answers (4)

Answer: Lower Bleph with Fat Grafting

Answer: Lower Bleph with Fat Grafting

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.