Fat Transpositions with Lower Blepharoplasty
As we age, excess skin and bulging of fat can develop around the eye resulting in a tired or sad appearance. We can also lose fat from our faces, causing skin to sag. Fat pseudoherniation in the lower eyelid is what causes bags to form and the excess skin that accumulates in the upper eyelid is known as dermatocholasis. Luckily, there’s a quick, effective, and permanent solution for these issues known as Blepharoplasty; A procedure that involves removing excess skin, along with some fat and muscle.
When I discuss Blepharoplasty with patients, they are sometimes confused by the term “fat transpositioning.” The “bags” under our eyes are the result of the bulging and downward movement of fat, skin, and muscle. Fat transposition is the process by which a patient’s own fat is repositioned from around the eye and into the trough underneath the lower eyelid. This restores a smooth contour, while avoiding a hollowed out look associated with fat removal techniques, to the under eye area that is part of a youthful appearance. This technique is best performed with an open blepharoplasty technique, because excess skin and muscle needs to be removed at the same time. Transconj blepharoplasty techniques don’t preserve the fat around the eye, but instead remove fat, and may result in an artificial hollowed out look.
After an upper or lower Blepharoplasty is performed, incisions are camouflaged in the natural creases of the eyelids and are imperceptible after healing. Blepharoplasty is a relatively pain-free surgery and recovery is much easier than patients expect. Stitches come out after 4 to 5 days with moderate bruising and swelling to be expected. Any residual bruising can be covered with makeup within one week of surgery. There are different techniques for eyelid surgery so recovery will depend upon the technique used, amount of bruising, and the body’s ability to heal. Within 7 to 10 days, most patients will look good enough to be in public without feeling self-conscious.
It is always best to consult with a dual board certified facial plastic surgeon when considering undergoing Blepharoplasty or any facial surgery.
Post provided by Benjamin Stong MD