I'm considering a transconjunctival bleph with fat repositioning (arcus marginalis release), but I've read that this is a risky procedure(has more potential complications) compared to a standard bleph where fat is taken out. And what are the long term results?As the fat is only repositioned and not removed isn't there the risk to form EYEBAGS again after a few years?Does the repositioned orbital fat on the surface of the cheek bone stay there forever or can it move back to its original position?
What Are the Risks and Long Term Results of a Blepharoplasty with Fat Repositioning?
Doctor Answers 4
Achieving A Youthful Appearance in The Orbital Area
Current techniques in lower eyelids blepharoplasty has certainly changed over the years as we have gotten a better understanding about aging and how to correct the signs of aging around the eyes. The repositioning of fat into the tear trough zone of the lower eyelid is a very useful technique in filling this age related groove. This can be accomplished via the transconjunctival approach as well as an external subcillary incision. I generally find most patients will do better with the external approach as there is more precise layering of the orbital fat into the tear trough groove and the external approach allows us to tighten the orbicularis muscle and elevate the cheek fat to fill in the lateral orbital rim. All of these techniques help to soften the area around the eye and give this are a more youthful appearance.
Fat Repositioning for Lower Eyelid Surgery
Fat repositioning in lower eyelid surgery should not pose any greater complication profile than lower eyelid surgery with fat removal. The transposed fat can be sutured to keep it in position. Another variant on that is to remove fat from the lower eyelid and fat grafting to the tear trough. Most people need both fat removal from the lower eyelid and fat addition at the tear trough by whatever technique preferred by the surgeon. Find the plastic surgeon with best credentials.
Risks & long term results of bleph with fat repositioning
Repositioning of fat has only been around a few years so there aren’t any long term results. The question is whether or not fat will remain viable outside of the open pocket over time. A typical transconjunctival lower blepharoplasty is usually good for 10-15 years after the surgery.
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Risk of lower bleph with fat repositioning.
The risk of fat repositioning should not be more than other types of blepharoplasty. In fact, this is becoming the standard method as the older fat excision only procedure left the eye looking sunken or hollowed which actually makes one look older.
Results should last many years and likely will not return to the full extent that they are currently. Seek consultation from a surgeon who has much experience in eyelid rejuvenation. Ask them how many they have done and how often will give you a good indication.