Upper eyelid fat graft or filler or revision surgery?

Question

Hi, my eyes looks sunken/hollow (maybe too much fats taken out?) and my crease on my right eye seem to be very odd. Is fat graft / fillers to the upper eyelid the solution? And which of the 2 is recommended? Or is a revision eyelid surgery needed?

Jason Emer, MD · Answer

this can be improved with fillers and lasers, Thermage for long term tightening.  otherwise a surgical reconstruction is needed with the fillers or fat.  Best, Dr. Emer.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. You may benefit from fillers, I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Mehryar (Ray) Taban, MD, FACS · Answer

You have a difficult problem. Filler injection may be the best effective treatment. I don't believe fat grafting is predictable enough given compromized blood supply there. Best to have personal evaluation.

Mats Hagstrom, MD (license on probation) · Answer

Honestly I think perhaps a little too much skin was removed. Your crease was set a little on the high side for your ethnic background.A question if you should’ve had a blepharoplasty in the first place.If so it should’ve been done very conservatively.I don’t know if fat or volume is really the issue at all.I would be very apprehensive about working with Fat grafting in this area and recommend at least starting with fillers.Sometimes cutting bait and leaving good enough alone is a good option as well.The enemy of good is perfect.The closer someone is to perfect the less change they need.Best, Mats Hagstrom MD

Robert T. Buchanan, MD (retired) · Answer

This is the reason that experts in eyelid surgery rarely remove fat from the eye any more, as the defect is frequently worse than what was treated initially. The treatment is fat grafting, which must be done by an expert, as the anatomy is tricky and demanding. The results are never as good as the original, which are smooth collections of fat instead of small amounts of fat separated by vascularized tissue, but can make a significant difference. The results also improve with time as the fat grows.

Upper eyelid fat graft or filler or revision surgery?

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