Orbital Fat Grafting
for Lower Eyelid Hollowness
Before and After

Each patient below had undergone previous blepharoplasty elsewhere
complicated by lower eyelid/orbital hollowness in one or both eyes.

Photos depict actual patients of Dr. Meronk.
Your results may vary.

Severe structural collapse after transconjunctival blepharoplasty
Before
Six Months After


Left lower eyelid hollowness and retraction
Before
After


Lower hollowness after blepharoplasty
Before Fat Grafting
Six Months After
(postoperative photo courtesy of patient)


Left lower eyelid hollowness and a "bulging eye"
Before
Three Months After
Following blepharoplasty, the sunken lower eyelid abnormally hugged the rounded contour of the eyeball, especially along its outer half, and changed the natural look of the patient's face and the expression of her eyes. The left eye itself felt vaguely uncomfortable during routine movement and tired easily. After orbital fat grafting to reestablish deep underlying support and restore a youthful fullness, the lids regained their former shape and normal sensation returned.
(postoperative photo courtesy of patient)


Lower hollowness in a young patient after blepharoplasty
Before
Hollowness in the naturally fuller Asian lower lid is especially objectionable.

Four Months After
Normal level of fullness restored and loose skin reinflated
(photos courtesy of patient)


Hollowness and retraction after lower blepharoplasty
Before
Six months after orbital pearl fat grafting only
Volume normalized and retraction much improved
Before
Six Months After
(postoperative photo courtesy of patient)


Lower hollowness appearing several years after blepharoplasty
Before Fat Grafting
Three Months After
(postoperative photo courtesy of patient)


Hollowness and advanced lid retraction after lower blepharoplasty
Before
Lower lids hollowed and retracted
Five months after orbital pearl fat grafting alone
Lids fuller and partially elevated; skin reinflated
(photos courtesy of patient)


Hollowness following upper and lower blepharoplasty
Before
After lower orbital pearl fat grafting only
Lower and upper hollowness much improved
(postoperative photo courtesy of patient)


Inborn hollowness (no previous surgery)
Before Lower Orbital Pearl Fat Grafting
Three Months After
(photos cropped for privacy)


Right lower structural collapse after blepharoplasty
Lid weakened and dropped with poor closure during sleep (inset)
Following restoration of lost volume by orbital pearl fat grafting,
lower eyelid is better supported and able to close


Left upper and lower hollowness
Before
After
Improvement in both lower and upper eyelid hollowness due to restoration of orbital volume and better support for the eye


Left lower eyelid hollowness
Before
Two Months After
(postoperative photo courtesy of patient)


More Before-and-After Photos

Orbital fat grafting
for upper hollowness






Orbital Fat Grafting
Solutions for Eyelid Hollowness and Collapse



Overview
Socket Fat and the "Orbital Flat Tire"


Upper Eyelid Hollowness | Lower Eyelid Hollowness
Upper Cheek Hollowness | Preventable Causes

Treatment Options - An Introduction
Is Fat Injection the Same as Fat Grafting?

Pearl Fat Grafting | Strip Fat Grafting
Combination Strip-Pearl Fat Grafting Technique
Small Incision Approach

Lid-to-Lid Fat Transfer | Internal Fat Repositioning
Dermal Fat Grafts | Fat Injection | Dermal Fillers

Hollowness and Brow Lift | Doll's Eye Deformity
Hollowness in the Asian Upper Eyelid


Healing and Recovery

Removal of Excess Grafted Fat | Dark Circles
What is Meant By Under-Eye Hollows?
Pertinent Anatomy: Diagrams & Definitions


Orbital Fat Grafting FAQs

Surgery Photographed:
Lower Hollowness: Orbital Pearl Fat Grafting
Upper Hollowness: Orbital Strip Fat Grafting
Advanced Upper Hollowess: Combination Strip-Pearl Approach
Upper Hollowness: Internal Repositioning


That Tiny Roll of Upper Eyelid Skin (video)

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