The doctor I am considering recommends transconjunctival blepharoplasty with skin pinch and a fat transfer, under local anaesthesia, for my particular case. He says this will avoid the chances of ectropion (is that true?). However, I have read a lot of mixed information, opinions, and results about doing fat transfers under the eye - some say it’s great, some say it’s a bad idea. Why so much mixed info? And is a fat transfer best performed at the same time as a lower blepharoplasty?
January 16, 2020
Answer: Fat Transfer to Lower Lid with Blepharoplsty If the fat transfer is done well to the lower lid, then patients are very happy with it. However, if there is some lumpiness or irregularity in the lower lid, patients are none happy with the results and can be very difficult to correct. Fat transfer to the lower lid is not always required.
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January 16, 2020
Answer: Fat Transfer to Lower Lid with Blepharoplsty If the fat transfer is done well to the lower lid, then patients are very happy with it. However, if there is some lumpiness or irregularity in the lower lid, patients are none happy with the results and can be very difficult to correct. Fat transfer to the lower lid is not always required.
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November 18, 2019
Answer: Eyelid Surgery Question Dear lisa.777,You are bringing up a great and interesting question. Fat transfer to the cheek provides support to the lower lid, which may reduce the risk of ectropion. There is not good data on it, but it intuitively makes sense to most surgeons. This is because the eyelid and cheek interact and support each other. A droopy cheek is like a poor foundation of a house, and can make the walls (eyelid) sink.Good luck,Nirmal R. Nathan, M.D.
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November 18, 2019
Answer: Eyelid Surgery Question Dear lisa.777,You are bringing up a great and interesting question. Fat transfer to the cheek provides support to the lower lid, which may reduce the risk of ectropion. There is not good data on it, but it intuitively makes sense to most surgeons. This is because the eyelid and cheek interact and support each other. A droopy cheek is like a poor foundation of a house, and can make the walls (eyelid) sink.Good luck,Nirmal R. Nathan, M.D.
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October 16, 2019
Answer: Lower lid blepheroplasty A trans. cong. lower lid bleph. only removes fat from the lower lid. The skin pinch does'nt cut through the muscle and therefore reduces the risk of ectropion. Two fat statements. What kind of fat? Thicker particulate fat or nano fat? There are multiple complications with fat, besides the fact that most of it resorbs. Asymmetric bumps, yellow fat showing through the skin and the rare cases of blindness. I don't like to inject fat around the eyes.
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October 16, 2019
Answer: Lower lid blepheroplasty A trans. cong. lower lid bleph. only removes fat from the lower lid. The skin pinch does'nt cut through the muscle and therefore reduces the risk of ectropion. Two fat statements. What kind of fat? Thicker particulate fat or nano fat? There are multiple complications with fat, besides the fact that most of it resorbs. Asymmetric bumps, yellow fat showing through the skin and the rare cases of blindness. I don't like to inject fat around the eyes.
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