Fat repositioning of fat removal to make my under eye a smooth transition?

Question

I had filler injected 10 years ago vô lift but in the last few years has caused a lot of swelling, I started to dissolve it, after two sessions my tear troughs have came back very obviously. have seen various surgeons with different opinions. Two suggesting a lower bleph with fat removal and fat grafting - and two suggesting just a lower bleph with removal not repositioning and strongly urging against fat grafting in the under eye with thin skin. Please help I can’t decide what is best

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

Based on your photos you have a tear trough deformity and prominent nasojugal groove. Lower eyelid surgery with fat re-distribution is a well accepted technique for addressing both issues.In patients with tear trough deformity without obvious skin excess or underlying muscle laxity, both fat re-distribution (through a lower lid blepharoplasty procedure) and fat grafting are acceptable treatments. In patients with marked skin excess and /or muscle laxity, it is thought that fat re-distribution produces superior results than autologous fat grafting.

Donald B. Yoo, MD, FACS · Answer

Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat.  An in-person exam would provide a more accurate diagnosis. Transconjunctival lower blepharoplasty with fat repositioning will provide nice results and a better lid-cheek transition in this case. If you want the best idea of what is possible for your eyes do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

Gary M. Horndeski, MD · Answer

I recommend a lower blepharoplasty with fat transposition to fill in the tear troughs.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Based on these photos it is very likely that transconjuctival lower blepharoplasty with or without fat flap transposition would work for you. This is decision that you should leave to your surgeon. Good luck.

Fat repositioning of fat removal to make my under eye a smooth transition?

Answers (4)

Answer: Transconjuctival lower blepharoplasty

Answer: Transconjuctival lower blepharoplasty

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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.

Fat repositioning of fat removal to make my under eye a smooth transition?

Answers (4)

Answer: Transconjuctival lower blepharoplasty

Answer: Transconjuctival lower blepharoplasty

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Recommended reading

Everything you need to know about Eyelid Surgery

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