Lower Blepharoplasty with Fat Reposition, are external sutures necessary?

To reposition fat into the top of the cheek and provide help for the top of the cheek, it is necessary to advance fat from the lower eyelid into the top of the cheek.  To keep the fat there, full thickness stitches are used.  The stitches can be removed after about 5 days.  The sutures are visible but come out early.  You are still pretty beat up at this point and most people are not doing anything social at this point after surgery.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation. Fat transposition of the lower eyelid can be performed with a number of different techniques.  Transconjunctival fat transposition can be performed with no extrernal sutures, but it depends on your anatomy and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon