When performing a Lower Blepharoplasty, which method, fat transfer or fat repositioning is better down the road to prevent the hollow look? In what case would it be better to perform neither & just the Lower Blepharoplasty? Thanks in advance for your answers, it's much appreciated.
October 11, 2016
Answer: Fat repositioning is now a time tested procedure with profound success. Fat grafting, micro fat grafting, nanofat grafting, call it what you want are damaging procedures performed by surgeons who do not understand the harm they are doing. Grafted fat causes inflammation and scaring. Unfortunately the unique feature of the lower eyelid/cheek junction is that they are composed of glide planes. Grafted fat scars the glide planes. This gums up and harms these tissues rather than helping them. I see 2 to 3 new consultations each week of people who have problems after having had lower eyelid fat grafting. Be careful what you look for.
Helpful 1 person found this helpful
October 11, 2016
Answer: Fat repositioning is now a time tested procedure with profound success. Fat grafting, micro fat grafting, nanofat grafting, call it what you want are damaging procedures performed by surgeons who do not understand the harm they are doing. Grafted fat causes inflammation and scaring. Unfortunately the unique feature of the lower eyelid/cheek junction is that they are composed of glide planes. Grafted fat scars the glide planes. This gums up and harms these tissues rather than helping them. I see 2 to 3 new consultations each week of people who have problems after having had lower eyelid fat grafting. Be careful what you look for.
Helpful 1 person found this helpful
October 11, 2016
Answer: Lower lid blepharoplasty If you have enough fat in the lower lid, repositioning that would be the best option. It is rare to see contour abnormalities from the repositioned fat. If you don't have enough fat to fill in the tear trough, then you could consider HA fillers post op, or fat. Fat is tricky in this area, and can sometimes produce nodules of firm fat which have to be removed. But when all goes well with fat transfer it can look great too. Find someone who does a lot of these surgeries as they are not easy to do.
Helpful 1 person found this helpful
October 11, 2016
Answer: Lower lid blepharoplasty If you have enough fat in the lower lid, repositioning that would be the best option. It is rare to see contour abnormalities from the repositioned fat. If you don't have enough fat to fill in the tear trough, then you could consider HA fillers post op, or fat. Fat is tricky in this area, and can sometimes produce nodules of firm fat which have to be removed. But when all goes well with fat transfer it can look great too. Find someone who does a lot of these surgeries as they are not easy to do.
Helpful 1 person found this helpful
