Hi Dr, firstly thank you so much for taking the time to answer these questions! I'm a first time asker from South Africa, and I have some questions on the fat transfer procedure.
I am 22 years old and have quite deep tear troughs and the skin in that area is incredibly thin, resulting in a bluish tint near the corner of my eyes and a strangely textured skin around the area in the orbital rim where the skin is stretching over the bone of the socket. Here are my questions:
a) My research on the Internet shows great inconsistencies around fat transfer to the tear trough area. Some doctors swear by it and/or treat it as a speciality (yourself for example) whereas others who I have been in contact with declare it risky with the potential for lumps and uneveness. So where does the truth lie? Assuming that the doctor is highly skilled and specialises in fat transfer, how much of a risk is there, and if lumps do form what is the procedure to fix them? Does having thin skin increase that risk?
b) If someone (such as myself) has thin skin, can the colouring of the fat show through? Since i can see the bluish tint caused by my blood vessels, it seems intuitive that the colouring of the fat would show through too?
c) I've seen three highly respected surgeons about my tear troughs, all three recommended fat transfer, but I have no idea who i should go about choosing. The one i didn't take a shine to, but the other two i did, although for different reasons. The one was very charismatic, confident and made me feel totally at ease and secure, whereas the other was somewhat more softly spoken but appeared to be more knowledgable and conservative which made me feel safer about the outcome of my face. What criteria do you think are important to consider when choosing a surgeon, assuming you have never seen their previous work to compare against?
d) Regarding the strangely textured skin that is stretched over my orbital bone socket, when i pull the skin back with my finger it tightens and the texture improves greatly. Will the fat transfer help achieve a similiar result, almost like pumping air into a balloon would smooth out all the creases?
Thanks for enduring my long-winded questions, and thank you in advance for your answers!