blepharoplasty 101 logo2
BLEPHAROPLASTY 101

Topic 20 - 3
Lower Fat Repositioning:
Robbing Peter To Pay Paul  
arcus marginalis release photos Lower Eyelids cheek and midface lift

 

attention
rob Peter to pay Paul

Verb

To use resources that legitimately belong to or are needed by one party in order to satisfy a legitimate need of another party, especially within the same organization or group: to solve a problem in a way that makes another problem worse, producing no net gain.

Source: Wikitionary.org


While terms and concepts like "fat preservation" or "fat conservation" have a certain ring to them, such terminology can sometimes be misleading.

Relocating orbital fat out of its socket, through the eyelid, and then onto the surface of the cheek bone is not preserving fat in its anatomically-correct compartment. As far as the eyeball and socket are concerned, transferring fat onto the cheek is no different than removing it.

The most common adverse outcome is the inadvertent creation of either immediate or late term eyelid hollowness.

A common misconception is that fat redraping is somehow superior to fat removal and more anatomically "responsible." In fact, it's a good example of "robbing Peter to pay Paul."

Both fat excision and repositioning entail removing fat from its natural location within the orbit. While either technique may result in hollowing of the orbit and eyelid if overdone, it is much easier to do so while trying to camouflage a cheek hollow, both because of the need to mobilize more fat than may be safely expendable as well as later shrinkage, or atrophy, resulting from excessive surgical manipulation.

Orbital hollowness is a much more serious eyelid deficiency than cheek thinning and is very difficult to treat. Following a growing stream of young patients referred to us for hollowness revision surgery after lower blepharoplasty with fat repositioning, we came to completely discontinue the procedure in our practice.

Besides, with the ongoing refinement of injectable dermal fillers to treat cheek hollowing, lower eyelid fat repositioning has lost much of its previous lustre.

Next: Cheek and
Midface Lift


bleph 101 logo

The complete guide to
cosmetic surgery around the eyes


blepharoplasty 101
© Copyright 2000-2017
Frank Meronk, Jr., M.D.
All Rights Reserved

Disclaimer: Information, observations, and opinions are presented for general reference use only and do not constitute specific medical advice, diagnosis, or treatment. Base all decisions solely upon the recommendations of your own doctors. With each use of this website, you signify your review and full acceptance of our most current Terms of Use and Copyright Infringement Policy.