Is Fat Repositioning During Lower Blepharoplasty a Common Procedure?

In most patients with changes of aging around the cheeks, the cheek has dropped considerably.

We've found it is usually best to elevate the cheek via a cheek lift and reposition the fat rather than just reposition the fat.  Then, the cheek with its fatty tissues is positioned higher and can hide lower eyelid hollowness.

Fat repositioning is not a common practice by any means, and still quite controversial, particularly procedures which involve division of the orbital septum or tightening of the septum.

It's best to select a surgeon with an interest in the mid face / cheek lifts.

I really believe that fat repositioning is a mistake and accomplished absolutely nothing.  I remove the fat and get excellent results.  Some say that will lead to a hollow look.  However I have done thousands of lower lid blepharoplasty and have yet to have this problem. Also remove the term negative vector from your vocabulary.  It’s more fancy word play that has no practical use.  Just get a standard bleoharoplasty.

Hi! Thank you for your question,


I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS).  I am also certified with the American Board of Plastic Surgery.


Fat repositioning is an ideal method of lower blepharoplasty rather than fillers since it corrects puffy bags below your eyes and fills up the hollow dark circles. It gives more of a youthful and natural look. I highly recommend you schedule an appointment with your board certified plastic surgeon to see if you are a candidate for the procedure.


Below are some links for additional information and before and after pictures.


If you have any further questions, please feel free to call us at 847.696.9900.


Best of luck and have a great day!


Regards,


Dr. Speron

I do this procedure of fat repositioning with a blepharoplasty commonly in my practice. If the patient is getting sufficient elevation with a cheek lift then it is not necessary. Otherwise this is a common procedure using the fat from the mountain to fill in the valley with a blepharoplasty.

Lower blepharoplasty with fat transposition (or repositioning) is an excellent effective procedure to accomplish two goals:  1) reduce the bags/fat of the lower eyelid;  2) to fill up the hollow dark circles.  Done correctly, it is very safe and effective.  See an oculoplastic surgeon familiar with the procedure.