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

A
alexhallFeb 24, 2014

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?

Answers (3)

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Dr. John J. Martin, Jr., MD
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Dr. John J. Martin, Jr., MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
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Answered on Feb 27, 2014
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Dr. John Michael Thomassen, MD
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Dr. John Michael Thomassen, MD
Board Certified Plastic Surgeon
4.8 | 128 Reviews
Answered on Feb 26, 2014
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Dr. Steven Wallach, MD
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Feb 27, 2014
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John Nguyen, MD, FACS

Lower blepharoplasty is fraught with possible complications such as ectropion which can be very challenging to correct.  I believe your surgeon was being conservative in his/her approach which I agree with considering over resection of fat or skin would be very problematic.  Where I...

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John Nguyen, MD, FACS

The brow asymmetry can be corrected with a unilateral temporal brow lift.  However, the right eye itself is naturally higher and cannot be corrected.  A simple way of correcting the brow asymmetry is to treat the right side with Botox.  You'll have to retreat about every four...

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John Michael Thomassen, MD

Vision is normally not affected after eyelid surgery.  Most commonly, some ointment that is placed in the incisions works its way to the eyes and makes vision blurry.  A scratchy feeling or feeling of sand in the eye may be from a corneal abrasion.  You can treat this is with...

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Boris M. Ackerman, MD

Blepharoplasty in patients with dry eye syndrome Any type of surgery on the eyelids of patients with dry eye syndrome can worsen the condition. Nevertheless, in a very motivated patient some type of improvement in eyelid appearance can be done. First, the dry eye condition has to be...

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Kenneth D. Steinsapir, MD

Fillers are helpful to suggest a more full sub brow area and this can help hide the crease.  Generally it is unrealistic to expect a satisfactory result by grafting fat into the upper eyelid.  That is because the fat will cause scaring and be unsatisfactory.  The best resuls occur...

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