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Can aggressive fat removal during upper asian blepharoplasty affect fat distribution throughout the rest of the face?
asian blepharoplasty

Nearly 2 years ago, I had upper asian blepharoplasty performed to mask asymmetry caused by an orbital blowout fracture. It not only made the asymmetry worse and more noticeable but on the healthy eye the doctor had removed more fat on that side of my eye than the other.
Over the years, I began to look like an old lady on that side of my face, the skin looks leathery and tight. I look like I have NO VOLUME whatsoever that gave me the youthful look I had just a few years ago.
I recently took a CT and while my doctor was looking at the aerial view of my head on the CT below the eye where the cheeks are, he noticed that there was a difference in volume in the L and R frontal cheeks by up to half.

How could this happen to the rest of the face if fat was excised through my upper eyelids? And could I gain back the volume I lost to the mid face if I have fat transferred back into my eyelids during revision blepharoplasty?

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Doctor/Professional Answers (1)   


Plastic surgeon
Baltimore, MD
United States
View My Professional Profile
  Facial asymmetry
September 22, 2011 11:25 AM

You mentioned you had "blow out fracture" of one of your eyes with resulting deformity.
You expect loss of volume on the blow out fracture side, because the fat around the orbit went down (more)
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Member Comments (1)

September 22, 2011 1:06 PM

Thank you for your response. The trauma also led to a zygomatic fracture but by that time, it was a 2 year old injury and the fracture had already fused. The plastic surgeon told me that the fractured eye had a little more fat than the other eye but to myself and others, it wasn't noticeable. Maybe to the eye itself since I had endophthalmitis(sp?) but not the cheeks.

I had requested for the plastic surgeon to excise even amounts of fat because I was planning on having the cheekbone worked on. This was a year and a half ago and besides the blepharoplasty, I have not done anything else to explain why the non-fractured side of my face would change so much and be depleted of volume in contrast to the fractured side which hasn't changed much since. Most of the negative changes I mention occurred within the last 6-8 months as the residual swelling from the blepharoplasty began to go down. The skin on the side of my face that didn't have any problems now looks aged, tight and leathery. Also, I'm in my 20's but when I furrow my eyebrows even lightly, I get "grandma" wrinkles on my eyelid on the non-injured side of my face which looks like it got lipoed of all the fat.

When the surgeon was working on my eyes, he was using a suctioning tool for the fat. I was awake throughout the entire procedure and I noticed that he was removing much more fat from the non-injured, healthy eye to the point where I began to panic while on the chair.
Could I have the effects reversed by having fat transferred back into my eye?



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