If Too Much Fat Was Removed During a Blepharoplasty, Will It Get Better over Time or Worse? I'm Two Years Post Op.

Unfortunately volume loss does occur with age. It may be, however, that we may be able to address that with techniques that replace fat within the eye socket, or surrounding structures. Fillers such as Restylane and Juvederm may also be useful.

If you post your photos, we may be able to give more specific recommendations.

The hollowness around the eyes get worse with aging.  The hollowness can be compounded if aggressive blepharoplasty with fat removal is done.  However, there are treatment options available, namely filler or fat injection.  Consult an oculoplastic specialist.

Hollow eyelids after blepharoplasty will become worse with time. We all loose fat with aging. It can be improved by CONSERVATIVE filling but not with fat except if done with a revision blepharoplasty.

Yes, if you have hollowness from someone taking out too much fat, then you may be a good candidate for filler treatment or fat grafting to replace the missing volume.

 

Good Luck.

There are two primary reasons that hollowness occurs after blepharoplasty.  First, existing hollowness is unmasked when excess skin is removed.  Second, fat is removed from the upper eyelids.

Modern techniques can indeed achieve volume replacement or redistribution.

Since your surgery was over two years ago, it is likely that you are observing the final result.  If the eyes appear too hollow, it is often possible to replace the missing fat with grafts of various types.  We prefer autologous fat-fascial grafts for this purpose.

There was an era when fat was aggressively resected.  This era is also noted for aggressive removal of under eye skin and a change in shape of the lower eyelid.  Often it is advisable to address this problem at the same time.  If the problem is not severe, improvement can usually be expected with a cheek lift procedure.