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What can be done when too much fat was taken out above the eyes and below the eyes?

Question:

What can be done when too much fat was taken out above the eyes and below the eyes?

Answer:

I almost always avoid removing fat from the upper and lower eyelid during blepharoplasty to prevent these complications. Excessive fat removal from above or below the eyes can lead to a hollowed appearance.  Injection of a filler can be safely performed around the eyes to reintroduce a healthy appearing look.  I recommend autologous fat injection into the upper eyelid and brow region for hollowing in that area.  For the lower eyelid region, I try to avoid injecting fat because of the propensity for creating palpable and visible lumps over the orbital bony rim.  In selected patients, I sometimes inject a conservative amount of hyaluronic acid filler into the lower eyelid region for improvement in contour due to excess fat removal.

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