Dislike upper blephorplasty results - can a fat transfer help? (photos)

Question

I had upper bleph 7 months ago. Before I had hooded eyes but now my face character, my looking are completely different. I don’t like it. My eyebrows got too close to my eyes and lost their curved shape. In the inner corners I feel traction and they are more elevated than were before while the outer corners go down. The tarsal plate is wrinkled and always seems to be a bit swollen, my lashes pointing down. In my opinion the scar is placed too high, 13-14 mm. Can a fat transfer help?

Kenneth D. Steinsapir, MD · Answer

That will simply compound your issues. Grafted fat is grafted scar tissue. It can't be controlled and the harms are unfixable. You need a detailed examination to completely understand your issues. Yes your creases look high but you also appear to have upper eyelid retraction to understand you issues and make a plan for what you need. Fillers are safer that grafted fat but are seldom satisfactory for this application. In my opinion, reconstructive surgery is the best approach. Your eyes can be your best feature.

Alan Gonzalez, MD, FACS · Answer

Hello @Arnica79, thank you for your question. I do not recommend fat transfer as a solution for correcting the results of an upper blephorplasty. While it may seem like it could add volume fat can be volatile, it can not be control how it will behave. It's important to keep in mind that recovery from an eyelid surgery can take several weeks or even months to reach its final result. If your current results are more than 7 months old, then they should have stabilized by now and you may want to consider non-invasive solutions. Consulting with a board certified plastic surgeon is always recommended before making a decision on what treatment best suits your needs. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Dislike upper blephorplasty results - can a fat transfer help? (photos)

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