Is Fat Redraping Same As Fat Repositioning to Address Eye Hollowness and Bags? (photo)

Dear Essence 1981

Thank you for your question!  The shaping around the lower eyelids is very important- just as important as the eyelid surgery... adding the volume under the eye eliminates the hollow and provides support for the lower eyelid- preventing the increase in white show.  With the surgical approach Fat Grafting gives great results. Non surgically you have Restylane placed on the deep layer to correct the hollow.

 

With Warm Regards,

Trevor M Born MD

The short answer is yes; from your photos, I do not see any skin excess, and a very small amount of fat in the lower eyelids.  I treat this quite a bit with fillers alone with excellent results.  You can choose a dermal filler like Restylane or Juvederm, or you can use your own fat- which can give excellent permanent results. I agree that you need it transferred to the orbital cheek junction. I dont think you need fat removal, as I believe this will make your eyelid look too hollow.  Repositioning is an option, but I believe that you need more fat fill than what the repositioning will give.  If you choose to have the lower eyelid surgery, then I agree that you should certainly do the transconjunctival approach for the reasons already mentioned.  In summary, you have choices, and each Plastic Surgeon will have their preferences on how to treat.  Good luck!