Need tie-breaker! One surgeon recommended lower lid bleph with a fat transfer to avoid hollowed eyes. The other surgeon was against a fat transfer and suggested filler as an option. I'm concerned that if I have the lower bleph without the fat transfer, I'll have hollow-looking eyes requiring regular filler-OR- that I'll have the lower bleph with the fat transfer and look over-filled or have lumps.
July 5, 2017
Answer: Fat grafting or filler under eyes? I prefer lower blepharoplasty with fat grafting when you have prominent fat pads and under-eye hollows (often with cheek deflation at the same time). This doesn't mean its the only approach. Fillers will also fill in the hollows but then you're committing to yearly injections to maintain the results. Ultimately, you should find the surgeon you trust and have a good rapport with and arrive at a plan together. It can be hard to find a surgeon that is sufficiently experienced with under-eye fat grafting.
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July 5, 2017
Answer: Fat grafting or filler under eyes? I prefer lower blepharoplasty with fat grafting when you have prominent fat pads and under-eye hollows (often with cheek deflation at the same time). This doesn't mean its the only approach. Fillers will also fill in the hollows but then you're committing to yearly injections to maintain the results. Ultimately, you should find the surgeon you trust and have a good rapport with and arrive at a plan together. It can be hard to find a surgeon that is sufficiently experienced with under-eye fat grafting.
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July 5, 2017
Answer: Correcting lowe lid puffiness and deep tear troughs Based upon the photographs you submitted and without a formal examination, I would recommend a transconjunctival lower blepharoplasty (surgery done without a visible scar behind the eyelid) with a fat transfer of the excess lower lid fat into the areas between the eye and the nose noted as the tear trough. That would avoid future hollowness and correct the puffiness as well. The problem with fillers is that it is temporary and will make the whole underneath eye area look puffy. Good luck in your area.
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July 5, 2017
Answer: Correcting lowe lid puffiness and deep tear troughs Based upon the photographs you submitted and without a formal examination, I would recommend a transconjunctival lower blepharoplasty (surgery done without a visible scar behind the eyelid) with a fat transfer of the excess lower lid fat into the areas between the eye and the nose noted as the tear trough. That would avoid future hollowness and correct the puffiness as well. The problem with fillers is that it is temporary and will make the whole underneath eye area look puffy. Good luck in your area.
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July 5, 2017
Answer: Lower bleph with or without fat transfer The beauty of this forum is that you will get different answers from acknowledged experts in the field. The problem with this forum is that you will get different answers from acknowledged experts in the field and that you will not get the tie breaker opinion you are seeking. Personally, I think you would have an outstanding result with lower blephs with Fat Transfer. To make your decision even more difficult, I am not a fan of under eye fillers and I am not a fan of fat repositioning and I have done all of these techniques many, many times. Good luck!
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July 5, 2017
Answer: Lower bleph with or without fat transfer The beauty of this forum is that you will get different answers from acknowledged experts in the field. The problem with this forum is that you will get different answers from acknowledged experts in the field and that you will not get the tie breaker opinion you are seeking. Personally, I think you would have an outstanding result with lower blephs with Fat Transfer. To make your decision even more difficult, I am not a fan of under eye fillers and I am not a fan of fat repositioning and I have done all of these techniques many, many times. Good luck!
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