What are the risks of Fat Replacement after upper Eyelid Surgery?

Question

I had upper blepharoplasty seven months ago (I had no lids and some crowning). Now, my inner eyelids look a little hollow, my eyes look rounder, and my eyebrows have dropped. In short, my eyes looked better before. My doctor said he removed just a little skin, but also removed fat above my inner eyelids. I would like to replace the fat, but I'm very nervous it could look worse. Do you think it is too risky to do this? Also, do you think fillers are safer than fat replacement?

John J. Martin, Jr., MD · Answer

A picture would be very helpful here.  IT is hard to know exactly  the degree of hollowing you have, and where it is.  If you now have a hollow upper lid, you can fill this area with either a hyaluronic acid or fat.  This is a difficult area to fill so make sure you go to someone who has experience working in the upper lid.

John Michael Thomassen, MD · Answer

Fat grafting to correct periorbital deficiencies is done routinely for the brow, temples, and lower lid in the tear trough and orbitomalar groove.  For the upper lid it is done less routinely due to risk of asymmetries and irregularities.  This area can be very unforgiving.  Nonetheless, it is the only option for severely hollowed out upper eyelids and can have definite improvements.

Steven Wallach, MD · Answer

I think that in order to make a rough assessment, photos of before and after would be helpful.  Best of luck.

What are the risks of Fat Replacement after upper Eyelid Surgery?

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