One occuloplastic surgeon says fat transfer. One Miami plastic surgeon says only fat removal. As a physician myself, I like to decide base on facts... Also, why not simply doing an infraorbital nerve block and save OR cost? Thank you !
Answer: Here's Why I Would Add Fat Transfer Your questions are perceptive. Your anatomy is typical: some bulging
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Answer: Here's Why I Would Add Fat Transfer Your questions are perceptive. Your anatomy is typical: some bulging
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August 13, 2015
Answer: If your lower eyelid is your primary concern, you can do very well just with fillers. Yes, hyaluronic acid fillers, specifically, Restylane can filler your under eye hollow and provide a result that is actually better than what can be achieved with surgery. While the result is not permanent, it is generally quite good for 12 months before a top off is beneficial. So I strongly recommend considering this option. Provided you are getting a result you like, there is no reason you can continue to get fillers as need. If you reach a point that the filler is no longer getting the job done, surgery remains an option. Generally fat grafting is not a very good option. It tends to make lumps and bumps and is impossible to adjust without more surgery.
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August 13, 2015
Answer: If your lower eyelid is your primary concern, you can do very well just with fillers. Yes, hyaluronic acid fillers, specifically, Restylane can filler your under eye hollow and provide a result that is actually better than what can be achieved with surgery. While the result is not permanent, it is generally quite good for 12 months before a top off is beneficial. So I strongly recommend considering this option. Provided you are getting a result you like, there is no reason you can continue to get fillers as need. If you reach a point that the filler is no longer getting the job done, surgery remains an option. Generally fat grafting is not a very good option. It tends to make lumps and bumps and is impossible to adjust without more surgery.
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August 13, 2015
Answer: Lower Bleph It appears that fat repositioning with an arcus marginalis release would be very beneficial to improve the appearance of the lower eyelid. Allowing the fat to prolapse down below the elevated muscle is usually helpful in treating the prominent tear trough. I will sometimes suspend the orbicularis muscle laterally which I find helps smooth out the muscle as well. The procedure can be done under local with sedation or general, so it should be up to you and your surgeon
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August 13, 2015
Answer: Lower Bleph It appears that fat repositioning with an arcus marginalis release would be very beneficial to improve the appearance of the lower eyelid. Allowing the fat to prolapse down below the elevated muscle is usually helpful in treating the prominent tear trough. I will sometimes suspend the orbicularis muscle laterally which I find helps smooth out the muscle as well. The procedure can be done under local with sedation or general, so it should be up to you and your surgeon
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August 12, 2015
Answer: Place fat to tear trough Thank you for the question. First, I almost always perform blepharoplasties under local. Each surgeon has his own preference and no one is right or wrong. Secondly, you should have the fat anchored to your orbital rim to improve the tear trough region. If your surgeon is experienced with this technique if does not add much difficulty or time to the operation. Good luck.
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August 12, 2015
Answer: Place fat to tear trough Thank you for the question. First, I almost always perform blepharoplasties under local. Each surgeon has his own preference and no one is right or wrong. Secondly, you should have the fat anchored to your orbital rim to improve the tear trough region. If your surgeon is experienced with this technique if does not add much difficulty or time to the operation. Good luck.
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August 12, 2015
Answer: Lower lid bleph You have a fair amount of prolapsed orbital fat in the lower lid with a deep tear trough. You would do well with fat repositioning where your fat is moved down into the tear trough. So then you wouldn't need a fat transfer. You could take out the fat, but risk making the area darker due to hollowing. You can do it with local infiltration. However with local, patients do not like the feeling when the fat is being moved or excised. So it is easier for surgeon and patient to do some IV sedation.
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August 12, 2015
Answer: Lower lid bleph You have a fair amount of prolapsed orbital fat in the lower lid with a deep tear trough. You would do well with fat repositioning where your fat is moved down into the tear trough. So then you wouldn't need a fat transfer. You could take out the fat, but risk making the area darker due to hollowing. You can do it with local infiltration. However with local, patients do not like the feeling when the fat is being moved or excised. So it is easier for surgeon and patient to do some IV sedation.
Helpful
