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Why are some surgeons still against fat-pad repositioning as part of lower blepharoplasty?

suswang123
A Board-certified, Ivy League-educated oculoplastic surgeon advised that he does not do fat pad repositioning for any patients. Period. He excises the fat pads, and if residual deficits remain, the patient can receive hyaluronic acid fillers. Can I please ask why, in 2024, a surgeon would be against repositioning? Is there still a body of evidence to suggest that it has a high complication rate?

Answers (9)

From board-certified doctors and trusted medical professionals
Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answer
3 people found this helpful
Eric M. Joseph, MD profile photo
Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
4.9 | 627 Reviews
Answer
1 person found this helpful
Michael P. Morrissette, DDS, FACS profile photo
Dr. Michael P. Morrissette, DDS, FACS
Board Certified Oral & Maxillofacial Surgeon
5.0 | 12 Reviews
Answer
1 person found this helpful
Dana Goldberg, MD profile photo
Dr. Dana Goldberg, MD
Board Certified Plastic Surgeon
4.9 | 82 Reviews
Answer
Zoran Potparic, MD profile photo
Dr. Zoran Potparic, MD
Board Certified Plastic Surgeon
4.6 | 145 Reviews
Answer
1 person found this helpful
Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 382 Reviews
Answer
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answer
Dr. Sara R. Dickie, MD
Board Certified Plastic Surgeon
Answer
Dr. Mats Hagstrom, MD (license on probation)
Board Certified Plastic Surgeon
Answer

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