Facial Plastic Surgery Questions and Answers: Part 2

Question: Is fat repositioning necessary with a lower blepharoplasty to fix my eyebags? 
Answer: Fat positioning in the lower lid simply does not work very well, therefore, a trans-conjunctival approach Removal of the fat pads from the inside of the eyelids will be all that’s required to rejuvenate your eyes.

Question: Fat deposits or sagging eyelids? 
Answer: The one photograph is rather limited, however you do have significant fat depositsOn the upper eyelids along with the extra skin as well. An upper blepharoplasty accomplishes removal of the extra skin and fat deposits. The incision is in the upper eyelid crease. The fat bags in the lower lids are removed through a trans-conjunctival approach on the inside of the lower lids. The procedure takes approximately one hour to perform under general anesthesia as an outpatient surgical procedure. Anticipate two weeks of visible bruising and swelling.

Question: 32, female, 155lbs, fairly active, left eye forms under eye bag – suggestions please? 
Answer: A much better set of pictures while you’re not smiling, are required to make a determination of if you’re a candidate for lower eyelid blepharoplasty. At 32 years of age, you should only require a trans conjunctival approach, fat removal when there is herniated fat bags in the lower lids. All the incisions are placed on the inside of the eyelids.

Question: 8 years post-op rhinoplasty for dorsal hump – is shrinking bulbous tip possible? 
Answer: A full set of facial photographs from all angles and a copy of your operative report would be helpful to understand what was accomplished in the first procedure. The digital images that you presented are possible with a revision rhinoplasty procedure. You’re going to require cartilage grafting techniques to build up the area area on the bridge above the tip, that is slightly depressed. To prevent the tip of your nose from drooping down dynamically when your smile requires releasing of the depressor septi ligament. It’s important to know how much cartilage is left over on the inside of your nose for grafting purposes. Revision rhinoplasty is very difficult, so choose your plastic surgeon wisely based on extensive experience.

Question: Am I a lower blepharoplasty candidate? 
Answer: You Have herniated fat bags in the lower lids based on the limited photographs presented. Consider a trans-conjunctival lower blepharoplasty for the fat bag removal creating the puffy look. All of the incisions are placed on the inside the eyelids.

Question: Is cutting muscle and needing fillers still normal (lower bleph)? 
Answer: The primary goal of lower eyelid surgery is to remove excess fat bags, and secondary and minor goal is to conservatively tighten up lower lid skin. Fat is removed through a Trans-conjunctival approach on the inside of the lower lids. If there’s excess skin at rest, then a small 2 mm pinch of that extra skin can be removed through the external incision along the lash line. We close this incision tissue glue. We never cut muscle out of the lower lids.

Question: Wrinkley eyelids at age 44, interested in a blepharoplasty. Should I be worried about looking like someone else? 
Answer: An upper blepharoplasty procedure can accomplish removal of the Hooded and excess skin in the upper eyelids. A properly performed upper blepharoplasty procedure can accomplish rejuvenation, and not making you look like someone else.

Question: Could a nose job help reduce eye circles? 
Answer: A nose job will not reduce eyelid circles. The goal of a rhinoplasty to shave down the dorsal hump, and narrow the bridge line.

Question: Upper eyelid surgery to repair heavy eyelids? 
Answer: Cosmetic upper eyelid surgery is performed to reduce heavy eyelids by removing excess skin and fat. Occasionally a strip of muscle can be removed to help as well. The pictures presented are in adequate in order to make a determination. Levator resection is performed when there’s ptosis present.

Question: Eye bags or malar fat pads? 
Answer: From the very limited photograph, it appears that you have fat bags in the lower lids creating the puffy look. A trans-conjunctival approach lower blepharoplasty can accomplish improvement with the incision located completely on the inside of the eyelid. No external insertion is required. This is performed under a brief general anesthesia as an outpatient procedure.

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