I can't seem to get a straight answer on this. Can someone please explain it To me? I have read that when the fat is repositioned in lower bleph that it can sometimes not stay and go back to where it came from if the sutures don't hold. If this is the case can it just be released and allowed to go back since it has blood supply?
Answer: Technical questions The anatomy of the lower eyelid is highly complex with 4 layers with blood vessels and nerves. There is a complex arrangement of muscles and sheets of tissue also. Any surgery to this area can cause swelling and bleeding. The answer to your question therefore is not entirely possible as it is too technical to answer even for many surgeons without having a qualification in the field.
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Answer: Technical questions The anatomy of the lower eyelid is highly complex with 4 layers with blood vessels and nerves. There is a complex arrangement of muscles and sheets of tissue also. Any surgery to this area can cause swelling and bleeding. The answer to your question therefore is not entirely possible as it is too technical to answer even for many surgeons without having a qualification in the field.
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July 6, 2022
Answer: Can fat repositioning be reversed surgically? Maybe. This depends on how far out from surgery you are. There appears to be some bruising in your photos. For the first few weeks, this procedure may be reversed. Although, I suspect reversing a lower eyelid fat transposition is not a commonly performed operation. After a few weeks I suspect fibrosis/scarring would make reversing such a procedure difficult or impossible. This fat could (potentially) be removed. Although, it would be advisable to wait six months to make an assessment before deciding on any further treatment. It is likely that over time, as healing occurs and swelling resolves, you may indeed be happy with your results. I hope this is helpful. Best wishes, Dr. Harmych
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July 6, 2022
Answer: Can fat repositioning be reversed surgically? Maybe. This depends on how far out from surgery you are. There appears to be some bruising in your photos. For the first few weeks, this procedure may be reversed. Although, I suspect reversing a lower eyelid fat transposition is not a commonly performed operation. After a few weeks I suspect fibrosis/scarring would make reversing such a procedure difficult or impossible. This fat could (potentially) be removed. Although, it would be advisable to wait six months to make an assessment before deciding on any further treatment. It is likely that over time, as healing occurs and swelling resolves, you may indeed be happy with your results. I hope this is helpful. Best wishes, Dr. Harmych
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July 4, 2022
Answer: Transconjunctival lower blepharoplasty Goal of transconjunctival lower blepharoplasty is to release attachment of the muscle which creates the grove and transfer some of the fat above the grove to fill that space. Fat flap that is transposed underneath the current grove (tear tough deformity) is temporary fixed with sutures to stay in that position for ever. In same case, addition of fat grafts may be needed to complete reconstruction and ad some volume to cheeks. Hope this helps.
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July 4, 2022
Answer: Transconjunctival lower blepharoplasty Goal of transconjunctival lower blepharoplasty is to release attachment of the muscle which creates the grove and transfer some of the fat above the grove to fill that space. Fat flap that is transposed underneath the current grove (tear tough deformity) is temporary fixed with sutures to stay in that position for ever. In same case, addition of fat grafts may be needed to complete reconstruction and ad some volume to cheeks. Hope this helps.
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Answer: Under-eye fat Hello, if the fat does not hold, yes it will still survive if it goes back to the original location. The issue with that, is the cosmetic result may not be as desired if the results change position.
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Answer: Under-eye fat Hello, if the fat does not hold, yes it will still survive if it goes back to the original location. The issue with that, is the cosmetic result may not be as desired if the results change position.
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July 5, 2022
Answer: Reversed periocular fat pad transposition With time scar tissue acts like glue that’s that’s and eventually the fat won’t be held in place by surrounding scar tissue. To reverse the procedure it needs to be done within a few weeks or preferably a few days after the operation.
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July 5, 2022
Answer: Reversed periocular fat pad transposition With time scar tissue acts like glue that’s that’s and eventually the fat won’t be held in place by surrounding scar tissue. To reverse the procedure it needs to be done within a few weeks or preferably a few days after the operation.
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