Adding Fat and Volume During a Blepharoplasty


It’s easy to feel self-conscious about your facial features when they display expressions that don’t reflect how you truly feel. Many of our patients walk into our facility feeling that they look older and almost severe because their eyes are drooping, and they have large bags and/or hallow areas around their eyes. While many might believe that removing the excess skin and fat alone may be sufficient to rejuvenate these areas, the fact is that the excessive removal of fat pads under the eyes can make you look exhausted and much older than your true age. For many, a combination procedure that will include removal as well as fat transfer and/or added volume via filler will need to be considered to provide the best and most natural eye rejuvenation possible. Let’s explore this interesting topic further!

Do you have either extremely puffy eyes or under eyes that appear shallow and sunken? For many, these signs of aging can start as early as in the late 20s spanning up to 50s and 60s, and can occur due to genetic predisposition or the natural aging process (which factors in stress and overall lifestyle). For those with excessive puffiness, an incision is carefully made along the lash line to allow access to remove any excess fat pads. Once removed the area instantly looks less inflated and bulgy. But that’s not all! Many believe that simply removing the excess fat under the eyes will give them all the rejuvenation they need and the appearance of lighter, brighter eyes. However, for many of these patients, they seek revision because where their under eyes appeared excessively puffy naturally, after recovery they may appear hallow. In these cases, board-certified cosmetic plastic surgeon Dr. Adibfar will use meticulous techniques to add volume back to the eye area.

Patients need to remember that the transition from the undereye to the cheek is incredibly visually important. Once the excess fat pads are removed from the undereye, fat transfer or filler may be utilized to smoothly transition the undereye to the cheek, giving a flush appearance that allows the patient’s overall face to look incredibly rejuvenated, lighter, and brighter. If your surgeon is using fat transfer, it is imperative that you choose an experienced and fastidious surgeon who is well-versed in fat transferring under the eye area. This takes ample experience and skill due to the fact that a small percentage of the transferred fat cells always die upon transfer, as well that the skin under the eye is very delicate and thin. If injected poorly, a patient may acquire fat lumps under the eye and an asymmetrical look around the eyes. Dr. Adibfar utilizes the patient’s fat to reinject closer to the start of the cheek, where the tissues and muscles are more tolerable to a transfer while still providing a rejuvenated appearance to the eye area.

For those uncomfortable with fat transfer to this delicate area, Dr. Adibfar can safely and carefully apply filler to hallowed pockets in the undereye area allowing for a smoother transition from the eye to the cheek. When addressing issues related to facial aging — and in particular the eye area — a skilled surgeon will always access how the eyes relate to the cheek area and try to create a smooth contour between the areas. Volume loss is a natural consequence of aging and fortunately our board-certified cosmetic plastic surgeon Dr. Adibfar — alongside his astute and medically-trained staff at Elements Spa — offers various solutions ranging from fat transfer to filler to PRP and more! If you’re interested in blepharoplasty, you’ll also be happy to know that there are no scars left from the procedure and the recovery time is fairly swift ranging from 7-10 days.

Click here to learn more or to book a consultation with one of Toronto’s leading board-certified cosmetic plastic surgeons, Dr. Adibfar.

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