Can lower blepharoplasty with fat transfer to midface/cheeks be done before double jaw surgery?

Question

I have an underbite that I’m not yet sure if I’ll get double jaw surgery for, but I’ve had prominent dark circles/bags since I was young and I’d really like treatment for them. Is it okay to get a lower blepharoplasty w/ fat transfer first, and then get double jaw surgery later on if needed? Or is it better to wait until after jaw surgery for the safest and best results, since I know double jaw surgery changes midface appearance. Any added risks or things looking off if done in that order?

Michael P. Morrissette, DDS, FACS · Answer

I think that you should seek out the treatment that addresses your concerns. The timing is not really essential. Most procedures can be performed in any order. As far as jaw surgery, an underbite doesn't necessarily require treatment if your functional ability to chew is unaffected. If you want to address the cosmetic aspect of an underbite, just have a chin implant or genioplasty. Many of my patients don't want to undergo a surgery that requires a long recovery.

Robert T. Buchanan, MD (retired) · Answer

You are correct. Maxillary surgery can change the midface. Because if this, I would have an evaluation for your jaw problem. If any surgery needs to be done on the maxilla, I would postpone any blepharoplasty or midface treatment until after the maxilla heals.

Can lower blepharoplasty with fat transfer to midface/cheeks be done before double jaw surgery?

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Can lower blepharoplasty with fat transfer to midface/cheeks be done before double jaw surgery?

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