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junebug7
San Diego, CA

 
Lower eyelids - remove fat, reposition fat, or filler?


I am a 54 year old woman who had a blepharoplasty on both my upper and lower lids back in 1996. I am still happy with my upper lids but not happy with my lower lids. My ps in 1996 did not take much fat from the lower lids because once the fat is gone it is gone. The lower lids have a slight heaviness but are pretty hollow in the tear trough area. I especially see the contrast when I wake up in the morning and my lower lids are puffy except for the tear trough area. I have always had puffy eyes when I wake up in the morning. I went to 3 plastic surgeons for a consultation. The 1st surgeon said she wouldn't take away any fat from the lower lids but would use a filler in the tear trough area. The 2nd surgeon said he would not take away any fat but reposition the fat to fill in the tear trough area. The 3rd surgeon said he would take away some fat from the lower lids and wait till they heal to see if I need filler in the tear trough area. I don't know what direction to go in. I really need to think about these various options. Any feedback would be greatly appreciated.

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Doctor/Professional Answers (4)   

docblinski


Plastic surgeon
Miami, FL
United States
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May 20, 2010 3:36 PM

I like door #3. Your posted photos made my choice very easy. You need NO skin removal, maybe a lateral canthopexy. If after 3 months the tear trough is still an issue, than fillers would (more)
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drganchi


Plastic surgeon
Wayne, NJ
United States
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  Another option - fat injection to the lower eyelid-cheek area
May 19, 2010 8:12 PM

As others have mentioned, it is impossible to give you good advice without examining you or seeing photos. I have tried all the techniques that you mention. As the lower eyelid ages, the (more)
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YaelHalaasMD


Facial plastic surgeon
New York, NY
United States
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  Lower eyelid fat
May 19, 2010 4:28 PM

Dear Junebug,
This question comes up a lot in my facial plastic surgery practice. It sounds like you got the three correct answers for dealing with excessive lower lid fat. Without (more)
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gdhall


Plastic surgeon
Leawood, KS
United States
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  eyelid surgery
May 19, 2010 2:29 PM

This is a tough question to answer without examining you. In my own practice I rarely remove fat from the lower lids but frequently transpose any excess fat into the tear trough area. (more)
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Member Comments (2)

junebug7
San Diego, CA
United States
  Smaller photo files
May 20, 2010 1:43 PM

Attached are smaller photo files. Hopefully they will load okay.

Attached Media

Photo:

eyelids - front view - straight face

Photo:

eyelids - front view - smile

Photo:

eyelids - side view



junebug7
San Diego, CA
United States
  RE: Lower eyelids - remove fat, reposition fat, or filler? - Photos
May 20, 2010 1:30 PM

Thanks you all for your feedback. Attached are some photos. After looking at these photos, it became more obvious that my upper eyelids are heavy as well. I may also consider upper eyelid blepharoplasty.

I quess I look at myself differently in the mirror than I do when viewing photos of myself.

Any additional feedback on my upper and lower lids would be appreciated. Thanks.

Attached Media

Photo:

eyelids - front view - straight face

Photo:

eyelids - front view - smile

Photo:

eyelids - side view




 



 

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