section of the forum is dedicated to discussions addressing injectable fillers including Restylane, Perlane, Juvederm, Radiesse, Sculptra, Silicone, Artefill, or other office-based injectable filler, except for the management of acne scarring (See Acne/Acne Scarring Forum).
My question specifically addresses how to correct a fat transfer to my lower eyelids that makes my eyes look like they have strong undereye bags. This procedure was performed during March 2009. The surgeon who performed the procedure attempted to remedy the situation through a series of Kenalog injections followed by fat transfer in the cheek-eye border. I’ve consulted numerous surgeons regarding this matter but am not receiving consistent responses. Universally, these surgeons rule out the use of Kenalog. However the alternative remedies proposed range from Blepharoplasty (which I prefer not to consider), hyaluronidase injections in combination with Scion Laser, to eyelid liposuction. My preference is for the eyelid liposuction but don’t have a good handle on whether this is a viable option and what the risks and complications are. I was also wondering if there are any other options to consider. There isn’t lumpiness but rather (what appears to be) an excessive layer of fat in my lower eyelids that resemble eye bags. Your feedback is greatly appreciated.
this is not easy to answer because it depends on your specific issue. i personally do not like using kenalog, as i believe it is both ineffective and risky. typically lower eyelid fat excess must be excised. if it is medial (toward the nose), i tend to use an incision along the tear trough if you have a visible one that tends to hide the incision pretty well. again, you need a personal consultation with a physician to get a better answer but answers will differ as this is both a difficult situation and depends on the surgeon's preference of approach.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery