I am in my late 60's and have hollows in my lower eyelids and some rounding due to a previous surgery that was done many years ago (the doctor has since retired). I am I’m interested to know: * Would AlloDerm (or similar) and fat transfer would give a good result. * Would an Oculoplastic surgeon do both Alloderm and Fat Transfer, or would I need to go a different doctor for each procedure?
December 17, 2013
Answer: Lower lid hollow and rounded, would AlloDerm give good results? Why use a product of expense and possible risks vs a filler like Belotero Balance or fat grafts to attempt to improve this issue??
Helpful
December 17, 2013
Answer: Lower lid hollow and rounded, would AlloDerm give good results? Why use a product of expense and possible risks vs a filler like Belotero Balance or fat grafts to attempt to improve this issue??
Helpful
December 7, 2015
Answer: Volume Loss in the Lower Eyelids The volume loss in your "tear trough" area is something that can usually be very well corrected with a tear-trough implant with or without fat re-positioning. I agree that alloderm is a poor choice for volumizing this area. Fat injections may work, or they may also just dissolved a few months after surgery. The rounding issue is potentially far more complicated. Only a proper exam can determine the best course of action. Unfortunately, not all lower eyelid rounding can be corrected. Sometimes a "lateral tarsal strip" procedure can address this, but often times that fails a few months after surgery. A facelift or mid-face lift is often what is needed to take the weight of the cheek off of the lower lid. Sometimes rounding is more than just the weight of the cheek, but rather a result of scar bands that form under the skin. This might require palate grafts in addition to a mid-face lift. This really is a question that has to be answered in a highly customized way to your specific case after a proper exam.
Helpful 2 people found this helpful
December 7, 2015
Answer: Volume Loss in the Lower Eyelids The volume loss in your "tear trough" area is something that can usually be very well corrected with a tear-trough implant with or without fat re-positioning. I agree that alloderm is a poor choice for volumizing this area. Fat injections may work, or they may also just dissolved a few months after surgery. The rounding issue is potentially far more complicated. Only a proper exam can determine the best course of action. Unfortunately, not all lower eyelid rounding can be corrected. Sometimes a "lateral tarsal strip" procedure can address this, but often times that fails a few months after surgery. A facelift or mid-face lift is often what is needed to take the weight of the cheek off of the lower lid. Sometimes rounding is more than just the weight of the cheek, but rather a result of scar bands that form under the skin. This might require palate grafts in addition to a mid-face lift. This really is a question that has to be answered in a highly customized way to your specific case after a proper exam.
Helpful 2 people found this helpful