Fat Repositioning Vs Fat Transfer for Under Eyes?

Transconjunctival blepharoplasty and fat repositioning is the best procedure for fat bags and tear troughs. Skin looseness can be treated with chemical peel or laser.

  Either is acceptable if done correctly.   I think that you will find that this is a function of training and preference and not quality of result.  Kenneth Hughes, MD Los Angeles, CA

Its hard to answer the question without having your photo to evaluate. If you have good cheek/malar volume, a transconj bleph with fat repositioning might give you a great result. However, if you have a hollow malar region, the fat grafting would give you additional volume needed in the cheek/tear trough region.

Each patient needs individualized assessment. I use one technique over the other depending on the patient.

The laser will obviously not address the volume issue, but may be appropriate for xantholasma [cholesterol deposit] depending on your skin tone.

Dear zany28,


Each surgeon has their own method for making your eyes look better

My preference is using fat transfer and not fat repositioning because it works better in my hands

Additionally, I can use the fat to precisely sculpt the lower eyelid and cheek

After the fat transfer heals, then we may consider a laser for any fine lines left over


Best regards,

Nima Shemirani

Either option may be appropriate depending on your specific eyelid and face anatomy. For one person, the first option might be best while for another person the second option.  See an oculoplastic surgeon.

Hi.

Just going by your history, fat transfer (no blepharoplasty) with laser resurfacing may be a good choice for you.  The problem is that any lower eyelid intervention is very technique sensitive.

If you have excess fullness of the lower eyelids secondary to fat, repositioning is a better procedure. You avoid the risk of an irregular contour with fat injections. If necessary a laser treatment or a chemical peel can be used to tighten lax skin.