Getting retraction repair with orbital rim augmentation: fat graft or infraorbital implant?

Question

Hi, I’m having eyelid retraction repair as well as something to correct my negative orbital vector. The choices are fat graft or infraorbital implant. With fat graft I’m concerned about my body weight fluctuations effecting it (I compete in bodybuilding) but with the implants I’m worried about infection - either shortly after the implant or a delayed infection. What are your thoughts? I’m leaning towards the implant but am really worried about the infection risk. Thanks!

Kenneth D. Steinsapir, MD · Answer

The grafted fat is like injecting scar tissue into your lower eyelid and mid face. Yes, I know that many surgeons offer this service but I am the one people travel to try to fix these issues. Trust me, you do not want that to be you. The planes in the mid face need to glide over each other themselves for the area to look like it does. The grafted fat immediately destroys this function. Once that happens, it can not be repaired. Infraorbital implants are often not right either. Generally in these situations you need orbital rim volume but you also need the cheek vertically lifted and the lower eyelid stabilized. The best option for you very much depends precisely on your issues. A photograph would be helpful but there is no substitute for a detailed in person consultation.

Getting retraction repair with orbital rim augmentation: fat graft or infraorbital implant?

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Getting retraction repair with orbital rim augmentation: fat graft or infraorbital implant?

Answers (1)

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Recommended reading

Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.