I've been considering a bletharoplasty for a very long time. However, I opted at first for smaller options-such as tear trough filler and cheek filler (restylane and RFA). I've had mixed reviews regarding blepharoplasty as an option for me. Some plastic surgeons have told me mixed answers. I've attached my face before and after filler. Should I remove filler before surgery? Should I get fat transfer with blepharoplasty? I've attached first 2 without filler and second 2 with. Would I need a fat transfer to my cheeks along with a lower bletharoplasty? What would be the estimate cost? I have had RFA in my cheeks and Restylane under my eyes. Would I need them removed prior? I've attached photos with and without filler for reference. Thanks so much
Answer: Lower lid bleph with fat transfer... Based on your photos, you are a great candidate for lower lid bleph with fat transfer. This will give a great long term result that will look very natural, without the need for regular fillers. Ideally, it would be best to dissolve the fillers first as we have done many times in the past. Cost for everything can vary, but usually is around $8000. Be sure to see a facial specialist for consultation.
Helpful 1 person found this helpful
Answer: Lower lid bleph with fat transfer... Based on your photos, you are a great candidate for lower lid bleph with fat transfer. This will give a great long term result that will look very natural, without the need for regular fillers. Ideally, it would be best to dissolve the fillers first as we have done many times in the past. Cost for everything can vary, but usually is around $8000. Be sure to see a facial specialist for consultation.
Helpful 1 person found this helpful
January 2, 2025
Answer: Perhaps just a lower eyelid transconjunctival blepharoplasty to start. In general, we are not big fans of fat grafting since results can be somewhat unpredictable, and the under eye area is very thin and very sensitive to irregularities. If the bags under your eyes are bothering you, it's a relatively straightforward procedure to remove these fat pads without an external incision. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph
Helpful
January 2, 2025
Answer: Perhaps just a lower eyelid transconjunctival blepharoplasty to start. In general, we are not big fans of fat grafting since results can be somewhat unpredictable, and the under eye area is very thin and very sensitive to irregularities. If the bags under your eyes are bothering you, it's a relatively straightforward procedure to remove these fat pads without an external incision. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph
Helpful
January 2, 2025
Answer: Lower lid blepharoplasty I would recommend you do the lower lid transconjunctival bleph with a fat transfer to the tear trough and malar eminence for a nice midface volumization procedure. You do not need to dissolve prior fillers before doing this.
Helpful
January 2, 2025
Answer: Lower lid blepharoplasty I would recommend you do the lower lid transconjunctival bleph with a fat transfer to the tear trough and malar eminence for a nice midface volumization procedure. You do not need to dissolve prior fillers before doing this.
Helpful
December 31, 2024
Answer: Unless you are prepared (and can afford to travel for service) your options are limited. The filler you received was not optimally placed in my opinion. You did not get treatment of the under eye circle. What you had was volume in the cheek which actually makes the under eye hollow worse. It is possible to precisely place product in the gap between the herniated lower eyelid fullness and the top of the cheek. By filling this in precisely, it is possible to address the under eye circle. Treatment is not permanent, the service last about a year or so before needing to be topped off. Eventually, the all of the filler should be removed with enzyme. This is done approximately every 4 years. The rationale is that as the old filler ages, it hold more water and does not look right. If I were treating you, I would remove all of the filler and retreat just the groove as described. It is a fussy service. Most injectors seem to be incapable of providing it. I see people from all over the world for this service.
Helpful
December 31, 2024
Answer: Unless you are prepared (and can afford to travel for service) your options are limited. The filler you received was not optimally placed in my opinion. You did not get treatment of the under eye circle. What you had was volume in the cheek which actually makes the under eye hollow worse. It is possible to precisely place product in the gap between the herniated lower eyelid fullness and the top of the cheek. By filling this in precisely, it is possible to address the under eye circle. Treatment is not permanent, the service last about a year or so before needing to be topped off. Eventually, the all of the filler should be removed with enzyme. This is done approximately every 4 years. The rationale is that as the old filler ages, it hold more water and does not look right. If I were treating you, I would remove all of the filler and retreat just the groove as described. It is a fussy service. Most injectors seem to be incapable of providing it. I see people from all over the world for this service.
Helpful
December 31, 2024
Answer: Malar hypoplasia and tired looking eyes It appears that you have smaller cheek bones, condition known as malar hypoplasia, which is the cause of early aging in the area of lower eyelids and cheeks. Correction of malar deficiency with small cheek implants or periorbital fat grafts is way to correct this deformity. Lower, transconjuctival blepharoplasty would correct current lower eyelid problem. In person or teleconference consultation with a board certified plastic surgeon with expertise in these procedures is recommended. Good luck.
Helpful
December 31, 2024
Answer: Malar hypoplasia and tired looking eyes It appears that you have smaller cheek bones, condition known as malar hypoplasia, which is the cause of early aging in the area of lower eyelids and cheeks. Correction of malar deficiency with small cheek implants or periorbital fat grafts is way to correct this deformity. Lower, transconjuctival blepharoplasty would correct current lower eyelid problem. In person or teleconference consultation with a board certified plastic surgeon with expertise in these procedures is recommended. Good luck.
Helpful
