Why Fat Grafting Under Eyes is Prone to Complications, and Preventing Hollowness in Eye Bag Surgery

Описание: More on eye bag surgery: http://puffyeyes.com/

For more on under eye fillers, and why fat grafting is not recommended under the eyes, please go to: http://puffyeyes.com/eye-fillers/

For more about Dr. Prasad's experience and training in eyelid surgery, please go to: http://puffyeyes.com/about-dr-amiya-p...

A lady is deciding between two procedures to address the appearance of her under eyes: lower eyelid blepharoplasty with fat transfer, or lower eyelid blepharoplasty with filler. She’s worried if she doesn’t have the fat transfer, she’ll have hollow-looking eyes, and if she has the filler, she’ll have lumpy, over-filled under eyes.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains why fat grafting in the under eye area is prone to complications, and why a transconjunctival lower blepharoplasty is the best option for more predictable results, and to avoid scarring and hollowing:

1:36 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a eyelid rejuvenation specialist

2:07 — The importance of identifying potential areas at risk of hollowing after a lower eyelid procedure; and how Dr. Prasad avoids the risk of hollowing in his patients

3:01 — How loss of volume in the cheek areas can also contribute to the hollow appearance of the eyes and tear troughs

3:52 — Dr. Prasad explains his experience with fat grafting as a referral specialist, and how it is a procedure that results in a lot of complications

4:42 — The importance of understanding the recovery needed for each type of approach

4:55 — Dr. Prasad explains how lower eyelid surgery with fat grafting is performed by general plastic surgeons and the effect of this procedure on their patients

5:30 — Dr. Prasad discusses how he performs lower eyelid blepharoplasty from a transconjunctival approach, and why this approach is better in terms of healing and recovery

5:57 — Performing a lower eyelid transconjunctival blepharoplasty under local anesthesia with LITE™ sedation

6:28 — Dr. Prasad talks about the importance of having maintenance sessions, as well as other treatment options one may consider for maintenance

7:41 — Predictability in terms of outcome and healing is essential when it comes to cosmetic procedures; and the value in taking a conservative approach

8:15 — Why fat grafting is a complex and unpredictable procedure

8:46 — Dr. Prasad suggests a possible treatment plan for this lady’s case

9:16 — How fillers in the tear trough can sometimes last longer than expected

9:43 — Dr. Prasad’s recommendation

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