Sunken hollow eyes after Eyelid Surgery. Pearl fat grafting cost.

Question

after undergoing lower eye lid surgery and having fat removed and upper eye lid surgery on right eye. my eyes have sunken in and top lid space from lid to eye brow has gotten smaller and eyebrows sit lower and appear straight most of the time temples have also sunken in. I have under eye hollowing that has also affected the cheek tear troff area. I was wondering how much upper and lower pearl grafting costs in Australia for both upper and lower. the maximum cost or a higher end ball park figure

Kenneth D. Steinsapir, MD · Answer

Unfortunately, the reality of this procedure and the promise implied by this particular website do not match up.  The problem with fat pearl grafts is that the induce scaring the harms the glide function of the upper eyelid.  The result is that stuffing the upper eyelid with fat pearls does repair the upper eyelid hollow but rather gums up the upper eyelid so that is is one big scarred wad.  The surgeon's whose website promoted this service is now retired.  I have been in this business a long time and there are very few eyelids out there that have been treated with fat pearls that did not end up worse off for the service.  That makes me a skeptic.  I am afraid that what remains true about the Internet is that you can't believe everything you read.

Jason J. Hall, MD, FACS · Answer

Over-resected eyelids - both upper and lower - can be corrected well with fat grafting.  However, this fat grafting is "micro" fat grafting, done with very thin injection cannulas.  Fat pearls - placing blobs of fat in the eyelid - leaves the eyelids lumpy and scarred.  I'd look into the former and totally avoid the latter.

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Sunken hollow eyes after Eyelid Surgery. Pearl fat grafting cost.

Answers (2)

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