After a lot of thought (and unsatisfied results from fillers), I've decided to have the surgery to remove the fat pads from under my eyes. However, after a couple of consultations with different physicians, I find myself confused once more. I was told I should have a skin pinch with the procedure, but I'm petrified of being left with "droopy" eyes. Based on the photos provided, is a "skin pinch" necessary? Would my skin sag if I don't get it?
Answer: Blepharoplasty: To pinch or not to pinch? Although the best recommendations would come after an in-office evaluation some suggestions can be made based on your photographs.The first step would be to make absolutely sure that any previous fillers are not causing any of the issues seen in the photographs. Patients and some physicians are commonly surprised to learn that fillers injected into the lower eyelid are can persist for years (up to 5 years) and migrate.From the photographs it does not appear that you would require a "pinch" technique, and besides if a blepharoplasty was performed without the pinch technique and the results suggested you needed one, the pinch could easily be performed at a later date under local anesthesia and with minimal downtime.I would recommend that the blepharoplasty technique be a fat repositioning technique to avoid a hollowed look and you may consider fat augmentation in the cheek and peri-ornital area as well.The attached link and website provides more information.I hope this helps.
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Answer: Blepharoplasty: To pinch or not to pinch? Although the best recommendations would come after an in-office evaluation some suggestions can be made based on your photographs.The first step would be to make absolutely sure that any previous fillers are not causing any of the issues seen in the photographs. Patients and some physicians are commonly surprised to learn that fillers injected into the lower eyelid are can persist for years (up to 5 years) and migrate.From the photographs it does not appear that you would require a "pinch" technique, and besides if a blepharoplasty was performed without the pinch technique and the results suggested you needed one, the pinch could easily be performed at a later date under local anesthesia and with minimal downtime.I would recommend that the blepharoplasty technique be a fat repositioning technique to avoid a hollowed look and you may consider fat augmentation in the cheek and peri-ornital area as well.The attached link and website provides more information.I hope this helps.
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February 24, 2015
Answer: Possible eyelid surgery From the looks of your photos and the history you give, it looks like you have "malar edema" or puffiness under your eyelids…not periorbital fat. This can result from fillers being injected into the area and pulling in water. Occasionally, injecting hyaluronidase helps. If, in fact, it is malar edema, there are several possible approaches with variable degrees of success. You should seek the advice of a surgeon experienced in eyelid problems. A skin pinch would not help.
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February 24, 2015
Answer: Possible eyelid surgery From the looks of your photos and the history you give, it looks like you have "malar edema" or puffiness under your eyelids…not periorbital fat. This can result from fillers being injected into the area and pulling in water. Occasionally, injecting hyaluronidase helps. If, in fact, it is malar edema, there are several possible approaches with variable degrees of success. You should seek the advice of a surgeon experienced in eyelid problems. A skin pinch would not help.
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February 23, 2015
Answer: Blepharoplasty: To pinch or not to pinch? (Photo) Hi Chamberlu,It appears that you will benefit from lower lid fat reduction. I would recommend that alone. If at some point in the future your lower lids appear to have excess skin, then a skin pinch procedure can be performed under local anesthesia in the office. Good luck and be well.Dr. P
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February 23, 2015
Answer: Blepharoplasty: To pinch or not to pinch? (Photo) Hi Chamberlu,It appears that you will benefit from lower lid fat reduction. I would recommend that alone. If at some point in the future your lower lids appear to have excess skin, then a skin pinch procedure can be performed under local anesthesia in the office. Good luck and be well.Dr. P
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February 23, 2015
Answer: Skin Pinch Blepharoplasty Congratulations on your decision to have lower eyelid surgery!Most young patients don't need any skin removal during lower eyelid blepharoplasty because the tissues are already tight as is. By having your surgery performed by an eyelid specialist, you can have the issue addressed without worrying that you'll have droopiness after surgery. There are other options for skin tightening with blepharoplasty other than "the pinch." Sometimes, laser resurfacing can achieve a similar result without worrying about removing too much skin. However, not all patients are good candidates. In the photos, your skin appears a little pigmented so you would have to discuss risks and benefits of laser skin resurfacing with your surgeon before going forward with it. Good luck with your surgery!
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February 23, 2015
Answer: Skin Pinch Blepharoplasty Congratulations on your decision to have lower eyelid surgery!Most young patients don't need any skin removal during lower eyelid blepharoplasty because the tissues are already tight as is. By having your surgery performed by an eyelid specialist, you can have the issue addressed without worrying that you'll have droopiness after surgery. There are other options for skin tightening with blepharoplasty other than "the pinch." Sometimes, laser resurfacing can achieve a similar result without worrying about removing too much skin. However, not all patients are good candidates. In the photos, your skin appears a little pigmented so you would have to discuss risks and benefits of laser skin resurfacing with your surgeon before going forward with it. Good luck with your surgery!
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February 23, 2015
Answer: To skin pinch to not ? Difficult to tell from photos but probably no skin removal is necessary as you are young, but that is something that can be determined better once the fat is removed/repositioned during surgery. Notice I mention reposition the fat, instead of removal, to preserve youthful lower eyelids, instead of hollowness after fat removal. See link provided.
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February 23, 2015
Answer: To skin pinch to not ? Difficult to tell from photos but probably no skin removal is necessary as you are young, but that is something that can be determined better once the fat is removed/repositioned during surgery. Notice I mention reposition the fat, instead of removal, to preserve youthful lower eyelids, instead of hollowness after fat removal. See link provided.
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