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?
March 22, 2024
Answer: Why surgeons don’t offer certain techniques Sometimes, all it takes is one patient with a bad outcome to “scare” a surgeon away from trying certain techniques. There is no body of evidence for MOST things in plastic surgery because studies are not well funded for cosmetic medicine, study sizes are small since they are often single surgeon, and results are often subjective. My advice is to either decide you appreciate this surgeon’s aesthetic (based on before and after photos) or find another surgeon. ENT and plastic surgeons can be just as qualified as oculoplastics to perform these procedures.
Helpful
March 22, 2024
Answer: Why surgeons don’t offer certain techniques Sometimes, all it takes is one patient with a bad outcome to “scare” a surgeon away from trying certain techniques. There is no body of evidence for MOST things in plastic surgery because studies are not well funded for cosmetic medicine, study sizes are small since they are often single surgeon, and results are often subjective. My advice is to either decide you appreciate this surgeon’s aesthetic (based on before and after photos) or find another surgeon. ENT and plastic surgeons can be just as qualified as oculoplastics to perform these procedures.
Helpful
March 22, 2024
Answer: Transconjuctival blepharoplasty It is always individual decision. Most surgeons using transconjuctival approach will combine resection of the excessive fat pads and transposition of the small flaps over the orbital rim to provide some augmentation of cheek/lid junction. We use fat grafts for patient who need it rather than HA filler. Combination of specific procedures is individual choice which depends of the patients needs but also, surgeon’s preferences. Hope this helps.
Helpful 1 person found this helpful
March 22, 2024
Answer: Transconjuctival blepharoplasty It is always individual decision. Most surgeons using transconjuctival approach will combine resection of the excessive fat pads and transposition of the small flaps over the orbital rim to provide some augmentation of cheek/lid junction. We use fat grafts for patient who need it rather than HA filler. Combination of specific procedures is individual choice which depends of the patients needs but also, surgeon’s preferences. Hope this helps.
Helpful 1 person found this helpful