blepharoplasty 101 logo2
BLEPHAROPLASTY 101

PREVIEW

Topic 18 - 2
Should Fat Ever Be Removed
From the Lower Eyelid? 
tissue-sparing lower eyelid surgery Lower Eyelids lower eyelid skin removal

Bulging lower lids are not very attractive, but then hollowed eyelids can look even worse. One way to avoid the risk of trading one deformity for another is to go easy on removal of orbital fat during eyelid surgery. Here's why:

Orbital Fat Does Not Increase With Advancing Age

Standard blepharoplasty is an operation based around the subtraction of bulging orbital fat and sagging eyelid skin. However, orbital fat does not increase with advancing age. By definition, then, any fat removed during blepharoplasty creates a shortage compared to a more youthful state.

Something Bulging? It's Not That Easy to Correct

Both transconjunctival and transcutaneous lower blepharoplasty entail removal of orbital fat that is bulging against the lower eyelid and making it appear to be too full.

Determining the exact amount of fat that can be removed without causing hollowness is difficult. If removal is too vigorous, eyelid hollowness may appear just as soon as major swelling from the operation subsides. If removal is only a little bit too aggressive, hollowness may take a year or more to become noticeable.

Removing Orbital Fat May Have Secondary Consequences

Excessively excising fat during lower blepharoplasty can set off a cascade of unintended regional anatomic changes . . .

TO CONTINUE READING,
LOG IN or
blepharoplasty book
FIND OUT MORE


Next: Should Skin Ever Be Removed
From The Lower Eyelid?

blepharoplasty information
© Copyright 2000-2016 Frank Meronk, Jr., M.D.
All Rights Reserved

Disclaimer: Information, observations, and opinions are presented for general reference use only and do not constitute specific medical advice, diagnosis, or treatment. Base all decisions solely upon the recommendations of your own doctors. With each use of this website, you signify your review and full acceptance of our current Terms of Use.

Eyelid Surgery | Blepharoplasty Course