Can a lower bleph with eye fat repositioning cause a sunken appearance?

Question

A surgeon suggested that I get fat repositioning for my lower eyes, despite not having puffy eye bags (I only have hollowness in the tear trough) - My concern is that removing the little bit of fat that I have directly under my eye will make that area appear sunken. When the fat pad is moved from the area directly under the lid for filling tear troughs, will it possibly cause a deficiency in the area it was removed from?

Ryan Endress, MD · Answer

I realize this is quite the old question for this platform, but I do get this quite often in person so may be helpful for others. If you don’t have excess orbital fat and otherwise would not require blepharoplasty, a great way to correct the tear trough is to graft micronized fat from a separate donor, which is simpler and just as durable of a result. Repositioning orbital fat can yield asymmetry or a sunken appearance if there is no true excess to begin with.

Can a lower bleph with eye fat repositioning cause a sunken appearance?

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Can a lower bleph with eye fat repositioning cause a sunken appearance?

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