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It is quite possible that you have bilateral ptosis. This can be confirmed only on the basis of in person consultation with a board certified plastic or oculoplastic surgeon; ptosis can not be repaired or camouflaged with fat grafting. Good luck.
To confirm upper eyelid ptosis requires a dynamic view. In other words a single picture may not be sufficient since the angle you hold your head in reference to the camera can change the position of the pupil to the upper eyelid.I’m guessing you may have mild upper eyelid ptosis. fat transfer is not a good procedure in the upper eyelid and will not improve ptosis. There are well defined time proven procedures for the treatment of eyelid ptosis. The standard is a muscle excision blepharoplasty. If this is not sufficient then shortening of the levator muscle can be added as well.This is pretty straightforward and most plastic surgeons should be able to do a nice job. If you feel The ptosis is a symmetrical then it becomes a more challenging Finesse procedure where getting quality results will be more dependent on finding a highly experienced surgeon. For that you may want to look for a highly experienced plastic surgeon who does a lot of eyelid surgery or an ocular plastic surgeon.Fat transfer especially around the eyelids has a high incidence of undesirable complications and undesirable side effects. If somebody is looking for volume enhancement in this area then fillers are a far better approach.I recommend having several in person consultations with local board-certified plastic surgeons or oculoplastic surgeons.See what each person has to say. If you move forward with surgical intervention then ask each provider you consult with to show their entire collection of before and after procedures for the procedure you’ve chosen.And experienced surgeon should have no difficulty showing you at least $.50 up before and after pictures though unilateral ptosis repair is not as common so perhaps 25 sets of before and after pictures would be reasonable.Best,Mats Hagstrom MD
Fat transfer is a wonderful way to reshape the face. The results, if performed by someone experienced, are natural looking and permanent. In your particular case, I would transfer into the jawline and midface, cheekbone, and temples.
1) Dermal fat grafting under the eye -- avoid. Nobody does this anymore. Creates deformities. 2) Pearl fat grafting -- avoid. Same as #1 3) Fat grafting (free/micronized) is the gold standard if performed properly. Nano fat is used to improve skin, not volume.
Patients can have different responses to surgical and intervention. Certain procedures can leave long-term sequel I including discomfort or areas of tenderness. Typically facial procedures he’ll fairly quickly and what you describe it’s not typical. Typically facial procedures he’ll fairly quick...
