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Hollowness FAQs | All Topics

Eyelid Pearl Fat Grafts

Free Autogenous Particle Fat Transfer






Fat tissue the size of small pearls (3-5 mm in diameter) may be harvested from distant donor sites (most typically from the fat around the belly button or beneath the pubic hair) and grafted into the eye socket to augment overlying areas of eyelid hollowness.
 

Depending upon the severity of the volume deficiency, a variable quantity of pearls are implanted.

Several old reports indicated a survival rate of between 50-90% for pearl fat implanted just beneath the eyelid skin.

Our experience with deeper orbital implantation suggests a higher rate of take. While older superficial methods often resulted in noticeable lumpiness, deep placement of orbital fat provides a much smoother fill.

Deep pearl fat placement into the orbit provides volume enhancement that is more predictable while creating no external scar.

The pearl fat is grafted through a hidden incision into the natural anatomic compartment for orbital fat located behind the orbital septum and between the bone and eye.



 
Lower eyelid hollowness after blepharoplasty elsewhere
Before Immediately After
(Surgery by Dr. Frank Meronk)

Orbital pearl fat graft initial "take" is significantly higher than with injected fat cells obtained by liposuction, most likely because of (1) much decreased trauma during fat harvesting, (2) the preservation of normal fat tissue "architecture" (normal connective tissue, blood vessels, nerves, etc.), and (3) placement of the graft into the normal anatomical location intended for orbital fat rather than beneath the eyelid skin or into the eyelid muscle where fat does not occur naturally. View healed orbital fat graft in place eight months after surgery

For treatment of upper eyelid hollowness, we employ a wider variety of approaches, some of which utilize pearl fat.





Lower orbital pearl fat graft before-and-after photos

• Orbital fat grafting FAQs


Orbital Fat Grafting
Restoring Fullness to Sunken and Hollow Eyelids

orbital fat grafting
eyelid plastic surgery preview Orbital Fat Grafting Basics

eyelid plastic surgery preview Before and After Photos
photos upper eyelid hollowness
photos lower eyelid hollowness

Overview | Pertinent Anatomy | eyelid plastic surgery preview Preventable Causes

The Orbital Flat Tire | Doll's Eye Deformity
Hollowness in the Asian Upper Eyelid

Not the Same as Fat Injections

Video: That Tiny Roll of Upper Eyelid Skin:
It's Not What You Think
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Treatment Options: Introduction
Upper Eyelid Hollowness | Lower Eyelid Hollowness
eyelid plastic surgery preview Upper Cheek Hollowness

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

Orbit-to-Orbit Fat Transfer | Internal Orbital Fat Relocation
Dermal Fat Grafts | eyelid plastic surgery preview Fat Injections | eyelid plastic surgery preview Dermal Fillers



New: Latest 2012 Orbital Fat Grafting Updates
For Potential Patients
Course for Physicians



What is Meant By Under-Eye Hollows?
eyelid plastic surgery preview
Dark Circles
eyelid plastic surgery preview Orbital Hollowness and Brow Lift



Healing and Recovery
Sequential Photos from Before to 18 Months After
eyelid plastic surgery preview Removal of Excess Grafted Fat

About Dr. Meronk and Eyelid Hollowness


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