I am a 50 year old Asian. Have consulted a plastic surgery regarding removal of eye bag. He recommends me to do a transconjunctival eyelid surgery (incision inside) because there is not much excess skin to remove. In addition, he suggested a fat transfer to correct hollow sunken eye area after removing the eye bag.Is internal incision eye bag surgery a better option compared with external incision and is recovery is much faster? Does it also make sense to transfer fat immediately after the surgery to correct hollow and sunken eye?Your input is appreciated.
Answer: Lower eyelid surgery The treatment of your lower eyelids depends on the anatomic abnormality. Often times patients will describe "bags" under their eyes, which can be many different things. The fat may be removed very conservatively, but what may be more critical, is to reposition the fat so as to regain a smooth lower eyelid to cheek transition. A photo would be very helpful to help diagnose your condition and render a reasonable treatment plan.
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Answer: Lower eyelid surgery The treatment of your lower eyelids depends on the anatomic abnormality. Often times patients will describe "bags" under their eyes, which can be many different things. The fat may be removed very conservatively, but what may be more critical, is to reposition the fat so as to regain a smooth lower eyelid to cheek transition. A photo would be very helpful to help diagnose your condition and render a reasonable treatment plan.
Helpful 1 person found this helpful
Answer: Fat Grafting vs. Repositioning in Lower Eyelid Surgery Thank you for the question. This area is the subject of intense debate in the plastic surgery community over the past few years. The lower eyelid bags are related to the forward movement of the fat that cushions the eye. This is accentuated by fat loss and sagging in the cheek tissues. In many younger patients, conservative reduction of the fat bags is enough to soften the lower eyelid appearance. Unfortunately, this can lead to a hollow appearance or make the tear trough area look worse. Some surgeons treat this issue by placement of fat grafts (generally borrowed from the abdomen). In my practice, I often perform an operation for the lower eyelids that takes care of both of these issues at the same time. This is an extended lower eyelid lift with fat transposition. This operation uses the fat bags that are already present to fill in the tear trough area. If extra skin is present, this can be trimmed as well. If not, the incisions can be made inside the eyelid (transconjunctival). In a very small number of cases, I will add additional fat grafts from elsewhere. This is typically only in patients who are very thin or have had their lower eyelid fat removed in a prior operation. Best of luck moving forward!
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Answer: Fat Grafting vs. Repositioning in Lower Eyelid Surgery Thank you for the question. This area is the subject of intense debate in the plastic surgery community over the past few years. The lower eyelid bags are related to the forward movement of the fat that cushions the eye. This is accentuated by fat loss and sagging in the cheek tissues. In many younger patients, conservative reduction of the fat bags is enough to soften the lower eyelid appearance. Unfortunately, this can lead to a hollow appearance or make the tear trough area look worse. Some surgeons treat this issue by placement of fat grafts (generally borrowed from the abdomen). In my practice, I often perform an operation for the lower eyelids that takes care of both of these issues at the same time. This is an extended lower eyelid lift with fat transposition. This operation uses the fat bags that are already present to fill in the tear trough area. If extra skin is present, this can be trimmed as well. If not, the incisions can be made inside the eyelid (transconjunctival). In a very small number of cases, I will add additional fat grafts from elsewhere. This is typically only in patients who are very thin or have had their lower eyelid fat removed in a prior operation. Best of luck moving forward!
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July 4, 2017
Answer: Transconjunctival Blepharoplasty with fat grafting can be an excellent procedure The bulge of excess fat creating the "bag" under the eye is reduced nicely by transconjunctival resection. If there is not a lot of excess skin, then there is no reason to perform an external incision and incur the slight increase in risk. Along with the fatty bulge, people often have a crease or "tear trough" under the eye along the bone, and placing harvested fat in this crease can fill it and create a very smooth line from the eyelid to the cheek when combined with transconjunctival fat resection. This smooth transition is noticeable sign of youthfulness. Good luck.
Helpful 1 person found this helpful
July 4, 2017
Answer: Transconjunctival Blepharoplasty with fat grafting can be an excellent procedure The bulge of excess fat creating the "bag" under the eye is reduced nicely by transconjunctival resection. If there is not a lot of excess skin, then there is no reason to perform an external incision and incur the slight increase in risk. Along with the fatty bulge, people often have a crease or "tear trough" under the eye along the bone, and placing harvested fat in this crease can fill it and create a very smooth line from the eyelid to the cheek when combined with transconjunctival fat resection. This smooth transition is noticeable sign of youthfulness. Good luck.
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November 30, 2016
Answer: Transconjunctival blepharoplasty and fat injection to lower eyelids This solution may not be as silly as it sounds on first blush.
Helpful 1 person found this helpful
November 30, 2016
Answer: Transconjunctival blepharoplasty and fat injection to lower eyelids This solution may not be as silly as it sounds on first blush.
Helpful 1 person found this helpful
August 24, 2009
Answer: The story is not quite right here Dear Pepys
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August 24, 2009
Answer: The story is not quite right here Dear Pepys
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