Hi! I’m 28. I’ve always had a very lean face and body with and am very active so naturally my face lacks volume. Genetically I have deeper set eyes as well. I’ve tried under eye and cheek fillers while they may help I’m not crazy about fillers and don’t want to do more. I don’t need as perfect as the after photos but looking for help to see if a lower blepharoplasty or some other procedure could help me achieve more volume in my face. It always looks worse with flash photos.
August 29, 2023
Answer: Would a blepharoplasty help me achieve these results? If not, what procedure? Thank you for your pictures and questions. There are likely some changes in your appearance over time due to skin exposure, aging, etc., but likely the most critical factor is your baseline anatomy and genetics have you set up for this appearance. You have lost (or maybe never had) a smooth lid-cheek junction. There is some prominence of the tear trough, perhaps some herniation of the lower lid fat pad (hard to tell) and certainly some lack of mid-facial volume. Filler can be used in young patients who are good candidates but like you already noted, it is not always perfect and has to be redone. In my practice, I think the perfect approach to this situation is fat grafting with or without lower lid (trans-conj) blepharoplasty. This approach can remove excess fat (if needed) in the lower lid, and can replace fat in the mid-face and help blend the cheek again. Hope this helps!
Helpful
August 29, 2023
Answer: Would a blepharoplasty help me achieve these results? If not, what procedure? Thank you for your pictures and questions. There are likely some changes in your appearance over time due to skin exposure, aging, etc., but likely the most critical factor is your baseline anatomy and genetics have you set up for this appearance. You have lost (or maybe never had) a smooth lid-cheek junction. There is some prominence of the tear trough, perhaps some herniation of the lower lid fat pad (hard to tell) and certainly some lack of mid-facial volume. Filler can be used in young patients who are good candidates but like you already noted, it is not always perfect and has to be redone. In my practice, I think the perfect approach to this situation is fat grafting with or without lower lid (trans-conj) blepharoplasty. This approach can remove excess fat (if needed) in the lower lid, and can replace fat in the mid-face and help blend the cheek again. Hope this helps!
Helpful
August 29, 2023
Answer: Animated face/photos It is very difficult to see details on the animated (smiling) face. Whether small volume augmentation by means of fat grafts with or without lower blepharoplasty, would benefit your case can be decided only on the basis of in-person consultation, possibly teleconference. Good luck.
Helpful
August 29, 2023
Answer: Animated face/photos It is very difficult to see details on the animated (smiling) face. Whether small volume augmentation by means of fat grafts with or without lower blepharoplasty, would benefit your case can be decided only on the basis of in-person consultation, possibly teleconference. Good luck.
Helpful
