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)
Dr Lam do you put fat into the hollow upper eyelid? Can you put it in the lower eyelid if the patient already has an Enduragen implant in there for support? Lastl, what is an average cost of fat transfer including all charges? If a refill is needed what is the charge? Thank you.
Yes, I put fat into the upper eyelid in almost every patient. It technically is not directly in the eyelid but at the margin where the bony brow transitions into the upper eyelid. Anyway, that technical detail you don't need to worry about but suffice it to say that I put fat there in about 99% of patients.
Frankly, I did not know what an Enduragen implant was until I just googled it. It appears to be a Medpor implant. I have never put fat over one so I would most likely have to see you, feel your lower eyelid, and do some thinking before I say yes to that. I would also most likely consult with my colleagues before giving you any kind of affirmation toward doing it. Fat including all charges is $8800. I typically charge $500 for a touchup in the first year.
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