Hello- I’m considering the low bleph. I would like to get rid of the tired look. I have a few concerns I hope someone can answer to help me make the right decision. I went to 2 facial surgeons and they both mentioned fat removal as well as removal of small amount of skin. My main concern is going through a procedure and having a sunken eye look. I don’t like fillers. I had some and I dissolved them. My eyes look the worst in the morning and by evening they are not as swollen.
Answer: An examination may be necessary to determine if you're a candidate for surgery. My concern is that you may have some persistent HA To lower eyelids that is causing puffiness in the morning that is dissipating by the end of the day. If there is persistent HA, This may look peculiar after fat pad removal. I hope this helps. Sincerely, Dr Joseph
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Answer: An examination may be necessary to determine if you're a candidate for surgery. My concern is that you may have some persistent HA To lower eyelids that is causing puffiness in the morning that is dissipating by the end of the day. If there is persistent HA, This may look peculiar after fat pad removal. I hope this helps. Sincerely, Dr Joseph
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January 2, 2025
Answer: Transconjunctival lower lid bleph A lower lid bleph to remove the fat and a small amount of skin should smooth out your lower lid without causing a sunken look. Sometimes a fat graft is used in the tear trough to avoid a deepening of this trough after surgery.
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January 2, 2025
Answer: Transconjunctival lower lid bleph A lower lid bleph to remove the fat and a small amount of skin should smooth out your lower lid without causing a sunken look. Sometimes a fat graft is used in the tear trough to avoid a deepening of this trough after surgery.
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January 2, 2025
Answer: Lower bleph Did any of them mention also doing fat grafting? There are surgeons incluiding myself who do fat grafting as well if needed for hollowing and/or fat repositioning.
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January 2, 2025
Answer: Lower bleph Did any of them mention also doing fat grafting? There are surgeons incluiding myself who do fat grafting as well if needed for hollowing and/or fat repositioning.
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January 6, 2025
Answer: Treatment Options A lower blepharoplasty can improve the appearance of under-eye bags and excess skin, but fat removal must be approached carefully to avoid a sunken or hollow look. Over-removal of fat is a common cause of this issue. Modern techniques focus on fat repositioning rather than aggressive fat excision to smooth the under-eye area and create a more natural result. Since your concern is avoiding a hollow appearance, you may want to discuss fat preservation or transposition with your surgeon. This involves redistributing fat to fill any depressions rather than simply removing it. In some cases, adding a small amount of fat grafting can further enhance results. The difference in swelling from morning to evening suggests fluid retention, which may improve with skin tightening or repositioning rather than excessive fat removal. Make sure your surgeon understands your goal of achieving a refreshed but not overcorrected appearance. A conservative approach typically yields the best results. After the surgery you can try laser treatment, several sessions most likely, to improve the skin quality if you end up with fine skin wrinkles. Also mesotheraphy, exosomes, nano fat grafting, and microneedling works really good. Skin removal can also be done but it should be conservative, honestly I don't think that you need that.
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January 6, 2025
Answer: Treatment Options A lower blepharoplasty can improve the appearance of under-eye bags and excess skin, but fat removal must be approached carefully to avoid a sunken or hollow look. Over-removal of fat is a common cause of this issue. Modern techniques focus on fat repositioning rather than aggressive fat excision to smooth the under-eye area and create a more natural result. Since your concern is avoiding a hollow appearance, you may want to discuss fat preservation or transposition with your surgeon. This involves redistributing fat to fill any depressions rather than simply removing it. In some cases, adding a small amount of fat grafting can further enhance results. The difference in swelling from morning to evening suggests fluid retention, which may improve with skin tightening or repositioning rather than excessive fat removal. Make sure your surgeon understands your goal of achieving a refreshed but not overcorrected appearance. A conservative approach typically yields the best results. After the surgery you can try laser treatment, several sessions most likely, to improve the skin quality if you end up with fine skin wrinkles. Also mesotheraphy, exosomes, nano fat grafting, and microneedling works really good. Skin removal can also be done but it should be conservative, honestly I don't think that you need that.
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December 31, 2024
Answer: There is no substitute for a detailed in person assessment. I would be skeptical of pronouncements of what you need based on these photographs. I suspect that you have retained filler. I would start by having this product definitely removed. I strongly recommend avoiding "grafted fat" in these tissues. Your eyelid skin is very thin. Hiding grafted fat is very challenging. Think of grafted fat as injecting scar tissue. Yes, some fat survives by the vast majority of the fat dies and is replaced with scar tissue that will permanently damage how the eyelids heap up when you smile. You won't like this effect. Also the so-called skin pinch almost aways causes more harm than intended. Caution is advised.
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December 31, 2024
Answer: There is no substitute for a detailed in person assessment. I would be skeptical of pronouncements of what you need based on these photographs. I suspect that you have retained filler. I would start by having this product definitely removed. I strongly recommend avoiding "grafted fat" in these tissues. Your eyelid skin is very thin. Hiding grafted fat is very challenging. Think of grafted fat as injecting scar tissue. Yes, some fat survives by the vast majority of the fat dies and is replaced with scar tissue that will permanently damage how the eyelids heap up when you smile. You won't like this effect. Also the so-called skin pinch almost aways causes more harm than intended. Caution is advised.
Helpful 1 person found this helpful