Am I a good candidate for lower bleph without fat repositioning? (Photos)

Question

i want go get a lower bleph and have had a couple of consults but i have had conflicting advice (all transconjunctival). based on the photos, would you trim the fat or reposition it? do i have enough cheek support to stop the outer corners of my eyes drooping/retracting? what complications are likely on removal vs repositioning in my case based on my eye shape and face structure/cheek bones? thank you

Michael P. Morrissette, DDS, FACS · Answer

A lower blepharoplasty will reduce the protrusion of fat, but the best results are achieved with fat transfer or free fat grafting. Both techniques provide a more convex and youthful contour to the lid-cheek junction.

Tanya T. Khan, MD · Answer

Hi, you will likely benefit most from a transconjunctival lower blepharoplasty with fat excision. Once the prolapsed fat is removed, your skin will contract inward to create a nice smooth contour and blended lid-cheek junction. Do not think you need fat repositioning. Please see an experienced oculoplastic surgeon for best results.

Am I a good candidate for lower bleph without fat repositioning? (Photos)

Answers (2)