Is fat repositioning necessary with a lower blepharoplasty to fix my eyebags? (Photo)

Question

Hello, this is a follow up to my previous question thank you for your answers. Based on the answers, I seem to be a good candidate for a lower transconjuctival blepharoplasty to remove the fat under my eyes. My main goal is to remove the puffiness and to reduce the red swollen appearance . I also have hollowing caused by my negative vector which makes me have tear trough lines. Do I have to get fat repositioning under my eyes or is a lower bleph alone enough to reach my goals? Thank you again.

C. Blake Perry, MD · Answer

In my opinion you are a great candidate for fat repositioning to keep volume in the midface. Simply removing fat could give you a hollow appearance after surgery. Best to see an eyelid expert.

Whitney Pafford, MD · Answer

Lower lid blepharoplasty can remove the "puffiness" caused by the fat pockets we all have under the eyes, but fat transposition or periorbital fat grafting will help smooth out the transition between the cheek and the lower lid. Both help with the tear trough deformity. I prefer lower lid blepharoplasty with periorbital fat grafting especially in your type of case because you also get a little more volume and support in your cheek which helps support the lower lid.

William Portuese, MD · Answer

Fat positioning in the lower lid simply does not work very well, therefore, a trans-conjunctival approach Removal of the fat pads from the inside of the eyelids will be all that's required to rejuvenate your eyes.

Mats Hagstrom, MD (license on probation) · Answer

Removing some of the fat pads from your lower eyelid fixes one out of two problems.
Transposition of the fat pads attempts to correct two problems.
The tear trough lack of volume will still be present. If you only have fat removed from your lower eyelids.
 I suggest working on finding the right provider and then following their recommendations.
Ask providers to show you ample examples of before and after pictures for whatever procedure they recommend.
Best,
Mats Hagstrom, MD

Is fat repositioning necessary with a lower blepharoplasty to fix my eyebags? (Photo)

Answers (4)

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