I am 46 years old and have protruding lower eyelid fat along with a pronounced demarcation along the orbital bone. I've had two consultations: the first surgeon has recommended a simple procedure to remove fat, and the second a release of the orbital malar ligament along with a tightening of the lower lids through a corner stitch. I wish to minimize risk of any change in shape of eyes or malposition of lower eyelids. How common/risky is release of the orbitomalar ligament?
Answer: Transconjunctival lower blepharoplasty is ideal method Best technique to address under eye bags without changing the eye shape or causing lower eyelid retraction or causing hollowness is transconjunctival lower blepharoplasty with fat/bags repositioning. That involves releasing the ligament in a safe way. See following link.
Helpful 1 person found this helpful
Answer: Transconjunctival lower blepharoplasty is ideal method Best technique to address under eye bags without changing the eye shape or causing lower eyelid retraction or causing hollowness is transconjunctival lower blepharoplasty with fat/bags repositioning. That involves releasing the ligament in a safe way. See following link.
Helpful 1 person found this helpful
April 14, 2017
Answer: Lower eyelid blepharoplasty Hello and thank you for your question. The best advice you can receive is from an in-person consultation. In order to avoid risk of lower eyelid malposition, I would recommend a transconjunctival approach with fat repositioning. 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
Helpful
April 14, 2017
Answer: Lower eyelid blepharoplasty Hello and thank you for your question. The best advice you can receive is from an in-person consultation. In order to avoid risk of lower eyelid malposition, I would recommend a transconjunctival approach with fat repositioning. 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
Helpful
April 14, 2017
Answer: Lower lid blepharoplasty You have some mild fat prolapse. I prefer to reposition fat to avoid hollowing post-op. When we do this, the orbital and tear trough ligaments are elevated and the fat placed below these. If you have excess skin this can be removed. Depending on the amount of actual lid laxity you have, the lid may need to be tightened in the corner. When done correctly this should have minimal change in the eye shape. Make sure you see someone who does a lot of lower lid eyelid cosmetic surgery.
Helpful 1 person found this helpful
April 14, 2017
Answer: Lower lid blepharoplasty You have some mild fat prolapse. I prefer to reposition fat to avoid hollowing post-op. When we do this, the orbital and tear trough ligaments are elevated and the fat placed below these. If you have excess skin this can be removed. Depending on the amount of actual lid laxity you have, the lid may need to be tightened in the corner. When done correctly this should have minimal change in the eye shape. Make sure you see someone who does a lot of lower lid eyelid cosmetic surgery.
Helpful 1 person found this helpful
April 14, 2017
Answer: Lower lids mirliton, Only an exam can tell me exactly what I would recommend but based only on your photo I would be recommending a "SOOF lift blepharoplasty". See an experienced plastic surgeon that specializes in "onlyfaces" and has decades of experience and hopefully is familiar with the SOOF lift technique. See the video and good luck!
Helpful 1 person found this helpful
April 14, 2017
Answer: Lower lids mirliton, Only an exam can tell me exactly what I would recommend but based only on your photo I would be recommending a "SOOF lift blepharoplasty". See an experienced plastic surgeon that specializes in "onlyfaces" and has decades of experience and hopefully is familiar with the SOOF lift technique. See the video and good luck!
Helpful 1 person found this helpful
Answer: Correction of Lower Eyelids Of the 2 methods of dealing with the lower eyelids, removal of the fat is not generally a good idea. It will look good initially, but will significantly age the area over further time. Release of the orbit-malar ligament with movement of the fat over the orbital rim corrects the problem and maintains the correction much longer than other methods. For you, however, you appear to be a better candidate for filler. I would suggest seeing a plastic surgeon who has significant experience in perioccular rejuvenation using both surgery and fillers.
Helpful 1 person found this helpful
Answer: Correction of Lower Eyelids Of the 2 methods of dealing with the lower eyelids, removal of the fat is not generally a good idea. It will look good initially, but will significantly age the area over further time. Release of the orbit-malar ligament with movement of the fat over the orbital rim corrects the problem and maintains the correction much longer than other methods. For you, however, you appear to be a better candidate for filler. I would suggest seeing a plastic surgeon who has significant experience in perioccular rejuvenation using both surgery and fillers.
Helpful 1 person found this helpful