Planning on having a facelift in 2015. Dr suggested removing the fat pads by my nose. Do you think it's necessary? (photo)
Doctor Answers 22
Facial fat pads
Removing upper eyelid fat pads
you certainly don't have any protruding fat affecting the appearance of the outer segments of your upper eyelids but there is a little fullness of the pads near your nose.
Although removal of a little of the fat of those pads would produce a slightly better balance of the upper lid fold the risk is that removal of too much will give your upper lid a hollow or skeletonized appearance.
If you went ahead with reduction of those fat pads it is unlikely that scarring in the area would cause major problems and resulting loose skin is unlikely as well.
If the appearance bothers you then go ahead but personally I don't think it is a major issue.
Natural Volume Lifting
In your particular case, I would not recommend removing any additional volume around the eyes. The process of performing lower eyelid surgery has changed relatively dramatically over the last decade.
Most facial cosmetic surgeons have shifted the practice away from removing fat toward preservation and restructuring. So many patients become quite thin with exposed bones around the eye socket. Many patients may not have access skin or fat after surgery, but they still may not resemble a more useful picture 10 to 15 years prior.
In your particular case, I would recommend that you consider adding additional fat carefully around the eye socket. I have been utilizing this technique over the last 10 years in patients with great long-standing results. fat grafting around the eyes, particularly the lower eyelids, is tremendously successful. This technique allows for a very refined and accurate reconstruction. Fat cells transplanted to this area tend to have exceptional longevity bowling to the proximity of the fat cell to the vascular muscular tissue around the eye itself.
I would consider a facelift in conjunction with a natural fat lift. In my particular practice, we refer to this as natural volume lifting. It is a vector correct lift that elevates the cheek into its more useful position while adding volume as needed.
I would seek consultation with at least two specialists with experience considering all options. You should have an exceptional outcome.
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I see no reason for further eyelid surgery.
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