 = PREMIUM EDITION CONTENT available for preview
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Orbital Fat Grafting
for Upper Eyelid Hollowness
from Multiple Causes
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. |
Spontaneous hollowness in the mid-twenties
(no previous surgery) |
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| Snapshot taken ten years earlier |
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Before
Right eye: flat platform lacking crease
(doll's eye)
Left eye: doubled high crease |
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After
Small-incision upper orbital pearl fat grafting |
| Progressive one-sided hollowing many years after tumor surgery |
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| Before orbital fat graft |
After first graft |
After second graft |
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| Before |
After second graft |
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| Six years after orbital fat grafting |
Hollowness after ill-advised upper blepharoplasty
on a patient in her early twenties |
Before
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(1) Snapshot taken several months before blepharoplasty
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(2) Two years after upper eyelid surgery
High, rounded creases have stripped away youthful identity shown above
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(3) Same patient under less direct illumination
Fat loss has exposed the orbital bone contours. Eyes look and feel tired.
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After
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| Nine months after orbital fat grafting |
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Restoration of volume above incision
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| Same patient, 2 1/2 years after orbital fat grafting |
| Deep upper hollowness developing after viral infection |
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Before
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One year after upper orbital fat grafting x 2
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Before (same patient, looking down)
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| Volume fully stable one year after |
| Harsh appearance many years after upper & lower blepharoplasty
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| Before |
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After small-incision upper orbital fat grafting:
creases softened, skin redraped, and orbital bone de-skeletonized
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| Right Eye - Before |
Right Eye - After |
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| Left Eye - Before |
Left Eye - After |
As is sometimes the case, volume restoration on only the upper lids
may slightly improve on lower lid hollowness/retraction as well.
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| Downgaze Before - Upper Concavity |
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| Downgaze After - Volume Restored |
Upper hollowness and eyelid distortion
after brow lift alone (no blepharoplasty) |
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| Before |
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| Eight months after small-incision orbital pearl fat grafting |
Hollowness developing shortly after non-invasive
nitrogen plasma skin regeneration treatment by
dermatologist to fade brown spots on upper eyelids |
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| Before |
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After orbital fat grafting
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| Right Eye - Before |
Right Eye - After |
Extreme upper and lower eye hollowness
after blepharoplasty and aging |
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Before
Orbits are almost devoid of fat with
eyes sunken inside empty sockets.
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After upper (x2) and lower (x1) orbital fat grafting over the course of one year
In addtion to eyelid and brow improvement,
the eyes are now more normally positioned in the socket
(preexisting right ptosis remains).
(Shown six months after final procedure) |
| Doll's Eye Deformity after blepharoplasty and brow lift |
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| Before |
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| After orbital fat grafting for upper and lower hollowness |
| Skin and fat shortage after upper blepharoplasty |
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Before - Unnaturally stark creases and retracted upper lids in a
young man with a previously heavy-lidded masculine appearance.
He no longer resembled himself or anyone else in his family
and had to squint his eyes to blink. |
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One year after both upper orbital fat grafting and full-thickness skin grafting
(in essence, a "reverse blepharoplasty") |
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In down gaze, added volume from the fat graft is visible between
the brow and crease. Lighter tissue near the lashes is the skin graft,
which takes several years to fade to its fullest extent. |
| Multiple skin folds and hollowing (no previous surgery) |
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| Multiple skin folding with extreme crese height and depth on right side |
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| One year after orbital fat grafting |
| Multiple skin folds and brow descent after upper blepharoplasty |
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Redundant folding due to deflation after fat removal, and
descent of the brows due to inadequate support from below. |
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One year after upper orbital pearl fat grafting.
Lids reinflated and brows noticeably elevated.
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| Upper and lower hollowness after blepharoplasty |
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Before
Following upper and lower blepharoplasty one year earlier,
volume depletion left the eyes and face
looking older and less expressive.
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| After Upper and Lower Orbital Fat Grafting |
| (postoperative photo courtesy of patient) |
| Hollowness after upper lid surgery in a young Asian woman
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Before - Hollowness in the Asian upper eyelid
is often manifested by multiple creases and folds |
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| Three months after orbital fat grafting and internal fat repositioning |
| Upper eye hollowness after blepharoplasty |
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| Before |
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| Ten months after |
| Inherited severe hollowness in young man |
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| Before |
Four Months After |
| (postoperative photo provided by patient)
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| Loss of volume long after eye socket fracture |
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| Before |
Four Days After Fat Grafting |
| Note the interaction between orbital volume and brow position |
| Right upper eyelid age-related spontaneous fat loss
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| Before |
After |
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Eyelid Plastic Surgery
Los Angeles, Ventura, Santa Barbara, Southern California |
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