I have been to about 15 different doctors . I got 15 different answeres. What are the pros and cons. Does fat grafting last. Is blepharoplasty too severe. 37 yo Caucasian women. Thank you
Answer: Fat transferring is not advised for thin eyelid skin, but there are alternatives. A procedure for puffy eye bags Based on the single
Helpful 1 person found this helpful
Answer: Fat transferring is not advised for thin eyelid skin, but there are alternatives. A procedure for puffy eye bags Based on the single
Helpful 1 person found this helpful
August 15, 2014
Answer: You have bilateral upper eyelid retraction and proptosis. This is consistent with thyroid eye disease. If one of these 15 surgeons in their rush to get you signed up for surgery have not noticed this before, I recommend seeing an oculoplastic surgeon to get an actual work up for your issue and once it is clear what is going on, then you and your surgeon can decide what is best. Just looking at your photo, I would love to see picture of you from years ago to understand when this change in appearance occurred. You might also benefit from a cosmetic orbital decompression. I see several consults a week where patients have had unsatisfactory fat grafting to this lower eyelid. I would recommend that you first get a work up and determine if you Thyroid eye disease. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a directory on their website (ASOPRS dot org) that can assist you to find a well qualified surgeon who processes the clinical skills to assess you and manage the condition.
Helpful
August 15, 2014
Answer: You have bilateral upper eyelid retraction and proptosis. This is consistent with thyroid eye disease. If one of these 15 surgeons in their rush to get you signed up for surgery have not noticed this before, I recommend seeing an oculoplastic surgeon to get an actual work up for your issue and once it is clear what is going on, then you and your surgeon can decide what is best. Just looking at your photo, I would love to see picture of you from years ago to understand when this change in appearance occurred. You might also benefit from a cosmetic orbital decompression. I see several consults a week where patients have had unsatisfactory fat grafting to this lower eyelid. I would recommend that you first get a work up and determine if you Thyroid eye disease. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a directory on their website (ASOPRS dot org) that can assist you to find a well qualified surgeon who processes the clinical skills to assess you and manage the condition.
Helpful
August 15, 2014
Answer: Fat Grafting Vs. Blepharoplasty Blepharoplasty is a surgical procedure where the contour of the lower eyelid and sagging skin and muscle are correct through surgery. This may involve removing or repositioning fat in the lower lid and resupporting the skin and muscle.Fat grafting is moving fat from one area of the body (usually the flanks) to the eyelids. Both are complicated procedures and must be done by someone who has experience in both areas. Sometimes they are used in combination to achieve the most youthful results.Dr Lattman
Helpful 1 person found this helpful
August 15, 2014
Answer: Fat Grafting Vs. Blepharoplasty Blepharoplasty is a surgical procedure where the contour of the lower eyelid and sagging skin and muscle are correct through surgery. This may involve removing or repositioning fat in the lower lid and resupporting the skin and muscle.Fat grafting is moving fat from one area of the body (usually the flanks) to the eyelids. Both are complicated procedures and must be done by someone who has experience in both areas. Sometimes they are used in combination to achieve the most youthful results.Dr Lattman
Helpful 1 person found this helpful
August 15, 2014
Answer: Blepharoplasty versus fat grafting Thank you for your question. This is a complex topic to cover, but I'll do my best to hit some of the more important points to consider.Fat grafting takes fat cells usually from your abdomen or lateral thigh via a low negative pressure liposuction technique and then injects those cells into areas where there are concavities or shadows. The fat maintains the properties of the site that it was harvested from. It does not assume the properties of the area that it is injected into. The is important because if you have weight fluctuations and you gain weight more in your lower half than your upper half, this can lead to lumpiness even years down the road. The amount of fat that gets vascularized and lives after injection is technique dependent. With modern techniques and equipment, skilled injectors have very little fat that does not "take". Poor injectors have about a 50% resorption rate. Fat transfer does not help rejuvenate the upper eyelids (unless you have hollowing). The double convexity of the lower lid is in large part caused by fat herniation (pooching out) from under the globe (eyeball). Thus, you actually have excess fat in this area. Fillers or fat transfer camouflage this by diminishing the irregularity. This is not addressing the underlying problem of the fat herniation. Blepharoplasty actually addresses this problem (fat herniation).Blepharoplasty is used to address aging of the upper and lower lids by removal of excess skin and either removing or repositioning fat. Surgery attempts to restore the youthful external appearance of the upper and lower lids. It is less of a camouflage technique. There are multiple blepharoplasty techniques, particularly in lower eyelid surgery. Many factors need to be taken into account and a person's specific anatomy often dictates which technique is used.It is not unusual for someone to have both blepharoplasty as well as fat grafting (or fillers) to the tear trough as they can be complimentary.Both fat injection and blepharoplasty require significant talent. I would recommend consulting with one or more well respected facial plastic or general plastic surgeons in your area who perform both so you can have a full exam and go over this complex topic in more detail and get a tailored approach to your eyes. All the best!
Helpful 1 person found this helpful
August 15, 2014
Answer: Blepharoplasty versus fat grafting Thank you for your question. This is a complex topic to cover, but I'll do my best to hit some of the more important points to consider.Fat grafting takes fat cells usually from your abdomen or lateral thigh via a low negative pressure liposuction technique and then injects those cells into areas where there are concavities or shadows. The fat maintains the properties of the site that it was harvested from. It does not assume the properties of the area that it is injected into. The is important because if you have weight fluctuations and you gain weight more in your lower half than your upper half, this can lead to lumpiness even years down the road. The amount of fat that gets vascularized and lives after injection is technique dependent. With modern techniques and equipment, skilled injectors have very little fat that does not "take". Poor injectors have about a 50% resorption rate. Fat transfer does not help rejuvenate the upper eyelids (unless you have hollowing). The double convexity of the lower lid is in large part caused by fat herniation (pooching out) from under the globe (eyeball). Thus, you actually have excess fat in this area. Fillers or fat transfer camouflage this by diminishing the irregularity. This is not addressing the underlying problem of the fat herniation. Blepharoplasty actually addresses this problem (fat herniation).Blepharoplasty is used to address aging of the upper and lower lids by removal of excess skin and either removing or repositioning fat. Surgery attempts to restore the youthful external appearance of the upper and lower lids. It is less of a camouflage technique. There are multiple blepharoplasty techniques, particularly in lower eyelid surgery. Many factors need to be taken into account and a person's specific anatomy often dictates which technique is used.It is not unusual for someone to have both blepharoplasty as well as fat grafting (or fillers) to the tear trough as they can be complimentary.Both fat injection and blepharoplasty require significant talent. I would recommend consulting with one or more well respected facial plastic or general plastic surgeons in your area who perform both so you can have a full exam and go over this complex topic in more detail and get a tailored approach to your eyes. All the best!
Helpful 1 person found this helpful
August 13, 2014
Answer: Blepharoplasty You appear to have some prominent eyes and some eyelid retraction. Have you been evaluated for thyroid disease? Make sure you do that before and surgical intervention. In your lower lids you do have some hollowing. Doing a routine bleph could worsen this. A fat transfer may help. Often its good to try some filler first as this will give you an idea of the results you can obtain with adding volume to the area. Fat can be tricky here so make sure you go to someone with a lot of experience with fat in the lower lid. When done correctly it should last for a long time.
Helpful
August 13, 2014
Answer: Blepharoplasty You appear to have some prominent eyes and some eyelid retraction. Have you been evaluated for thyroid disease? Make sure you do that before and surgical intervention. In your lower lids you do have some hollowing. Doing a routine bleph could worsen this. A fat transfer may help. Often its good to try some filler first as this will give you an idea of the results you can obtain with adding volume to the area. Fat can be tricky here so make sure you go to someone with a lot of experience with fat in the lower lid. When done correctly it should last for a long time.
Helpful
