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Orbital Fat Grafting
for Lower Eyelid Hollowness
Before and After
| Photos depict actual patients of Dr. Meronk. While typical, results shown may not be obtainable in all cases since every patient's outcome will be influenced by a range of variables. Display of patient photographs does not constitute a warranty or prediction of outcome. |
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| Severe structural collapse after transconjunctival blepharoplasty |
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| Before |
Six Months After |
| Left lower eyelid hollowness and retraction |
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| Before |
After |
| Upper and Lower Hollowness After Blepharoplasty
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Before
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.
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| After Upper and Lower Orbital Fat Grafting |
| (postoperative photo courtesy of patient) |
| Lower hollowness after blepharoplasty |
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| Before Fat Grafting |
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| Six Months After |
| (postoperative photo courtesy of patient) |
| Left lower eyelid hollowness and a "bulging eye" |
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| 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. |
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(postoperative photo courtesy of patient) |
| Lower hollowness in a young patient after blepharoplasty |
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Before
Hollowness in the naturally fuller Asian lower lid is especially objectionable.
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Four Months After
Normal level of fullness restored and loose skin reinflated |
| (photos courtesy of patient) |
| Hollowness and retraction after lower blepharoplasty |
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| Before |
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Six months after orbital pearl fat grafting only
Volume normalized and retraction much improved |
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| Before |
Six Months After |
| (postoperative photo courtesy of patient) |
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Lower hollowness appearing several years after blepharoplasty |
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| Before Fat Grafting |
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| Three Months After |
| (postoperative photo courtesy of patient) |
| Hollowness and advanced lid retraction after lower blepharoplasty |
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Before
Lower lids hollowed and retracted |
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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 |
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| Before |
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After lower orbital pearl fat grafting only
Lower and upper eye hollowness much improved |
| (postoperative photo courtesy of patient) |
| Inborn hollowness (no previous surgery) |
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| Before Lower Orbital Pearl Fat Grafting |
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| Three Months After |
| (photos cropped for privacy) |
| Right lower structural collapse after blepharoplasty |
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| Lid weakened and dropped with poor closure during sleep (inset) |
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Following restoration of lost volume by orbital pearl fat grafting,
lower eyelid is better supported and able to close |
| Left upper and lower hollowness |
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| Before |
After |
| Improvement in both lower and upper eye hollowness due to restoration of orbital volume and better support for the eye |
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Left lower eye hollowness |
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| Before |
Two Months After |
| (postoperative photo courtesy of patient) |

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Eyelid Plastic Surgery
Los Angeles, Ventura, Santa Barbara, Southern California |
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