This section of the forum is dedicated to discussions on various surgical techniques for facial rejuvenation, including fat transfer/fat grafting, browlift, blepharoplasty (cosmetic eyelid surgery), facelift, etc. Also, this category includes questions on hand rejuvenation via fat grafting. (Of note, Dr. Lam does not perform body rejuvenation except for hand fat grafting)
I recently had a rhinoseptoplasty and upper and lower bleph done. I am not happy with any of the results, but the lower bleph turned out the worst. Before the surgery I had some puffiness/fat under the eyes, but really not that much. I was concerned about looking hollow afterwards, but all 3 surgeons I consulted said that I need to have the fat removed, because the shadow it created was responsible for the dark circles I had. Well, now it's all gone, and I hate this new look. I still have the dark circles along the cheekbone (maybe a bit less dark), but the whole area above them now looks darker too. And now I have like an indent about 5mm under the eyes, so the eyes look like they bulge out (before there was a nice smooth transition all the way up to the lashes). Also, the main reason I got the lower bleph done was really more to address the loose skin. The surgeon wanted to do a traditional bleph, but I didn't want to risk the eyelids pulling down, so he agreed not to cut the muscle and did a skin pinch. As he romoved the fat, there was additional loose skin after the padding was gone, and the skin pinch didn't do much at all. Looks pretty much the same as before - but now on hollow eyes. Oh, and btw, the upper bleph is not only uneven, but now the eyes are more hollow there too I wanted to improve my eye area, and now it's worse than it was! Is there any way these issues can be addressed, maybe with fat transfer? If so, would this be a permanent solution? May I send you photos so you see exactly what I mean?
Looking forward to your reply. Thank you, Dr. Lam!
sorry to hear of your situation. the bad news is really that you spent the money and had a procedure that made you look worse. the good news is that i should be able to fix it and you did not have your lower eyelid position screwed up. i am very proud of you to at least to realize the dangers of a skin flap. good job! fortunately, everything that i do is the opposite of what you had done so i am confident (after reviewing your photos) that i should be able to help. not only help reverse out some of the surgery but also actually make you look better. this is why i am so vehemently and adamantly opposed to standalone traditional eyelid surgery because it is simply put wrong in almost every circumstance. you can send me a PM for a quick review. i will probably respond in this public forum for the benefit of the greater good. look forward to helping you when you are ready. best, sml
i got both sets to the PM account. yes, you are volume depleted partly due to aging and partly accelerated by eyelid surgery. you are an extremely good candidate for fat transfer and should have a nice result to cover both the previous surgery and signs of aging. how long ago did you have your surgery again? ideally, we wait at least 3 months if not longer after your last surgery to let things heal a bit. if you want to set up a phone consultation with me you can email firstname.lastname@example.org or email@example.com. we are also open tomorrow morning on xmas eve: 888-866-3388. we will be closed afternoon and for the remainder of the week. i shall be doing, of course, a fat transfer tomorrow morning before closing time. best, sml
this is good news, what a relief! I'm so excited that I am a candidate!!
I will try to contact one of your staff tomorrow, although I won't be able to take time off and fly to Dallas before April or May (unfortunately). My surgery was only about one month ago, so I would need to wait at least another couple of month anyway.
Thank you very much for your quick reply and for making me feel better already!