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Augmentation Blepharoplasty

Orbital Fat Grafting for
Lower Eyelid Hollowness

Before and After Photos - Page 1 of 2

Structural collapse after
transconjunctival blepharoplasty

Before Six Months After

Left lower eyelid hollowness & retraction

Before After

Upper & Lower Hollowness After Blepharoplasty

before orbital fat grafting

This young patient underwent an ill-advised upper and lower blepharoplasty one year earlier. Stripped of youthful fullness, the eyes and lids were left looking older, sad, hanging, and without definition.

after upper and lower hollowness repair
After Upper and Lower Orbital Fat Grafting

Lower hollowness after blepharoplasty

Before Fat Grafting
Six Months After

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.

Lower hollowness after blepharoplasty

Hollowness in the naturally fuller Asian lower lid is especially objectionable.

Four Months After
Normal level of fullness restored and loose skin reinflated

Hollowness and retraction
after lower blepharoplasty


Six months after orbital pearl fat grafting only Volume normalized and retraction much improved

Before Six Months After

Next: Lower Fat Grafting Photos
Before and After 2

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Frank Meronk, Jr., M.D.
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