Fat Grafting on Lower Eyelids and Rhinoplasty at the Same Time?

 

Rhinoplasty and fat grafting are safe to perform at the same time.  If you are planning to lose 20 lbs you should do so before fat grafting.

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I hope this is helpful for you.

I assume you meant rhinoplastic not neoplastic. Fat injections can easily lead to lumps. However, if you are have fat repositioning with eyelid surgery, these can be done at the same time. If you are not having eyelid surgery, then Juvederm is a better choice for the lids and can be done prior to the rhinoplasty.

I am not quite sure what a neoplastic surgery is.
As you state, there will be swelling of the lower eyelids with rhinoplasty alone but this would not limit me from performing a combined procedure as long you understand that you will have prolonged swelling.

It is possible to undergo fat grafting at the same time as rhinoplasty. The fat will not shift, move, or migrate, and it should stay in the exact location that it is placed. Plan on two weeks of recuperation since the eyelid surgery and rhinoplasty will be quite swollen for a long period of time. It should not affect the amount of fat cells that are successfully transferred into the eyelids.

In general, I would advice performing Fat grafting in the lower eyelids and Rhinoplasty at separate procedures. Thre would be greater predictability in results of the lower eyelids.
Predictability of fat grafts in the lower eyelids is subject to many factors, some of which are unknown. If the lower eyelid depressions are minimal and if there is herniated lower eyelid fat present producing fat prominences, it is possible to use this fat to make fat flaps.
In other words, I would dissect the herniated fat and bring it forward into the depressed areas of the lower eyelids. In my experience, this is preferable to actual fat grafting into the lower eyelids. I have performed lower eyelid Blepharoplasty with fat flap advancements in conjunction with rhinoplasty in many cases with excellent results.
The loss of 20 lbs. after surgery depends on your basic weight. If you are extremely overweight, loss of 20 lbs. would most likely result in no adverse effect.
On the other hand, if you are very thin and underweight, 20 lbs. weight loss is a relatively large amount to lose and might effect a change. By the nature of your question, I assume that you are overweight. The loss of 20 lbs. may not present a problem for you.

It is certainly possible to perform a rhinoplasty and fat grafting at the same time. However, I would caution you to avoid fat grafting to the lower lid to avoid lumpiness.

As you stated you will get swelling after rhinoplasty and this on the top of the swelling from the fat injection may affect the fat take. The best would be to do the Rhinoplasty and fat grafting later.

I see no reason that fat transfer can not be undertaken at the same time as a rhinoplasty. As you point out there will be a small amount of bruising and swelling but this generally does not interfere as long as the fat transfer is performed at the start of the procedure. As Dr. Rand points out though, there is no such procedure as a 'neo-plastic surgery'.

Dr  fleming is correct. The procedures can be done together, and the fat transfer should be first in order. There will be more eyelid swelling and probably more bruising in the short term, but it will not affect the healing process otherwise.