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For repair of aggressive lower-lid blepharoplasty, is fat transfer best?

Q:

My surgeon excavated too much fat from my lower lids and I now have hollow pockets that need to be filled. Is fat transfer best or should I pursue injectables?

A:

Removal of fat from the lower (as well as the upper) eyelids is an all too common occurrence. The best treatment for this is injection of fat in the area. Use of fillers can also correct the problem, but they are not permanent.

A:

I'm sorry you have had this experience.  I regularly perform structural fat grating on people who have had an overly aggressive blepharoplasy.  Fat grafting requires specialized tools, in additional to extensive training, expertise and patience on the part of the plastic surgeon. Be sure to find a plastic surgeon experienced with fat grafting and blepharoplasty correction.  The first step should be viewing many, many fat grafting before and after photos. 

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