Why do some doctors recommend and perform fat repositioning vs. fat transfer vs. fillers for the same pair of eyes? (I am getting different recommendations for my lower eyelid surgery, making it very confusing and hard to decide and choose a doctor). Does this have to do with what each doctor is good at? And what are the pros and cons for each of these approaches for filling in the area between the tear trough and malar? And which is best for avoiding hollow eyes and ectropion?
January 14, 2020
Answer: Lower Eyelids; fillers, fat transfer of repositioning Thank you for a phenomenal question. Assuming that you have a tear trough deformity, the first thing that we need to establish is why is it there. A careful examination can determine what is the defect and what is due to existing fat. Sometimes, the answer is simply to remove the excess fat. If the skin is adherent to the orbital margin (bone), lifting the tissue and repositioning the fat to fill the void is an excellent choice. If there is inadequate periorbital fat or you've had a prior blepharoplasty, then fat transfer can be performed. If you want a non surgical option, fillers can be used too. To some degree, the surgeon's preference is based on experience. If they're particularly good at something, that is what they like to do. Each option does however have different benefits and risks. A lengthy discussuion is beyond the scope of this posting. As in any procedure, it all begins with a diagnosis and careful examination. You can expect to be presented with reasonable options and a discussion of your particular risk factors. Make your decisions carefully.
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January 14, 2020
Answer: Lower Eyelids; fillers, fat transfer of repositioning Thank you for a phenomenal question. Assuming that you have a tear trough deformity, the first thing that we need to establish is why is it there. A careful examination can determine what is the defect and what is due to existing fat. Sometimes, the answer is simply to remove the excess fat. If the skin is adherent to the orbital margin (bone), lifting the tissue and repositioning the fat to fill the void is an excellent choice. If there is inadequate periorbital fat or you've had a prior blepharoplasty, then fat transfer can be performed. If you want a non surgical option, fillers can be used too. To some degree, the surgeon's preference is based on experience. If they're particularly good at something, that is what they like to do. Each option does however have different benefits and risks. A lengthy discussuion is beyond the scope of this posting. As in any procedure, it all begins with a diagnosis and careful examination. You can expect to be presented with reasonable options and a discussion of your particular risk factors. Make your decisions carefully.
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November 29, 2019
Answer: Eyelid Surgery Questions Dear lisa.777,All are reasonable options, and the best choice depends on the experience of the surgeon and the patient's anatomy.Best regards,Nirmal R. Nathan, M.D.
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November 29, 2019
Answer: Eyelid Surgery Questions Dear lisa.777,All are reasonable options, and the best choice depends on the experience of the surgeon and the patient's anatomy.Best regards,Nirmal R. Nathan, M.D.
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November 27, 2019
Answer: What are the differences in results and benefits for doing fat repositioning versus a fat transfer? What are the pros and cons? Either is acceptable if done correctly. I think that you will find that this is a function of training and preference and not quality of result.
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November 27, 2019
Answer: What are the differences in results and benefits for doing fat repositioning versus a fat transfer? What are the pros and cons? Either is acceptable if done correctly. I think that you will find that this is a function of training and preference and not quality of result.
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