Bleph with Fat Trasfer, Laser and Canthopexy Took 8+yrs off my Face

48 y/o female that had lower blepharoplasty with fat transfer and laser.... plus a minor canthopexy to address minor drooping of lower outer eyelid. I cannot say enough great things about Dr. Kotlus. First and foremost he is board certified, safe, sets realistic expectations, and has follow up appointments to ensure things are healing according to plan. His staff members are kind, warm, organized and pleasant. Absolutely wonderful staff.

The lower bleph was the most straight forward and lowest risk part of the treatment plan. I also respond very well to laser so I was confident that would turn out well. However, I did a ton of research and thinking about the fat transfer bec/ (1) the reabsorption rate varies widely per patient and (2) if you overfill you are screwed. NOTE: I had tear trough filler twice with another doctor that eventually looked great, however, (1) I swelled for a month both times and (2) it isn't permanent.

I had another consult with another top surgeon who prefers filler versus fat transfer because it's more controllable (less absorption variation per patient). After a lot of thinking I decided on Dr. Kotlus with the fat transfer because (1) we agreed less is more... better to underfill and look like it wasn't done then over fill and have caterpillar face, (2) I swell with filler, and (3) the fat transfer is more permanent.

I had the stitches removed after 5 days. If I didn't have the canthopexy I would have looked totally normal within 7-8 days. I had very minor swelling, very minor bruising. It was the canthopexy healing and scars that took a bit longer to heal/fade. I was worried the canthopexy might make my eyes smaller and rounded... they look freaking awesome. Back to my almond shaped eyes.

I am off the charts thrilled with my results. Everything went as expected. I can't say enough great things about Dr. Kotlus... and I will be seeing him in 3-5 years for an upper bleph.