![]() ![]() Because the topic is complicated, and requires the insight from a professional, we asked board-certified dermatologist and dermatologic surgeon Ellen Marmur, MD, to answer your every question. ![]() With the latter, however, there's a lot to know beforehand depending on the area you want to plump up.įor example, if you are interested in treating the wrinkles, hollowness, or dark circles around your eyes, you might be curious if undereye fillers can help. Also, it is more prone to complications such as eyelid retraction and ectropion.Within the last 10 years, cosmetic procedures like injectables have become much more of the norm, with people openly sharing their experiences with Botox and dermal fillers. It does require an external incision to remove and sculpt the fat that causes eye bags. Transcutaneous method is practiced by most general plastic surgeons and non-eyelid specialist surgeons. This is a more specialized technique when compared to the more common transcutaneous blepharoplasty. With transconjunctival blepharoplasty, there is no external incision, so there is no chance of a telltale external scar from surgery. It is important to leave some fat behind so the under eye area does not look hollow. The procedure is performed from behind the lower eyelid skin, where the fat that causes eye bags is accessed, sculpted, and removed. Prasad almost always performs under eye bag surgery through the transconjunctival blepharoplasty method. Since dermal fillers are placed via injection that penetrates the skin, filler placement is an invasive procedure. Many people choose to have cosmetic fillers to treat eye bags, mostly because they want to avoid surgery, or because they want something that’s not invasive. Fat grafting is also a complex and lengthy surgical procedure when compared to injectable fillers that can be done in minutes. Also, the texture and shape inconsistency of fat makes it less predictable than filler placement, which maintains its desired shape without the need of a blood supply. A second surgical fat transfer procedure is likely needed due to natural absorption of the fat by the body. However, the nature of fat make it less predictable. With thicker skin in the cheeks, fat transfer or fat grafting is also an option to add volume. ![]() The weight sits atop the bone structure, and muscle retains the desired shape far better than fat and soft tissue. More filler volume can be placed with Structural Volumizing than traditional filler placement. With the strong foundation of bone and held in place by the facial muscle layer, Structural Volumizing adds definition and youthful fullness, with natural looking results. This is in stark contrast to fillers normally placed in soft tissue, which may not support the weight of the filler, resulting in the material weighing down the face, or resulting in a doughy or pillowy appearance. Structural Volumizing places long-lasting fillers at the bone level to address bone loss due to aging, providing foundational volume. This is in comparison to dissolution of hyaluronic acid filler which takes minutes, and does not require surgery.Ī specialized technique of placing fillers at the cheeks and other facial areas is called Structural Volumizing, or the Y Lift® method. Removal of transferred fat due to complications is an extensive and expensive surgical procedure. “Touch ups” due to fat absorption require more surgical fat grafting procedures. Fat grafting is a double surgical procedure: one to harvest the fat, and one to place it. Fat also needs to be transferred to a readily available blood supply in the area, so if the fat does not heal as intended, removing it is an intricate and costly procedure.įat can also be quickly absorbed by the body, as anywhere from 30-70% of grafted fat may be lost due to absorption, making an additional volume enhancement procedure necessary. Grafted fat is a texturally inconsistent material once it is removed from its original blood supply, so lumps, bumps, and discoloration are likely issues which can be seen through thin eyelid skin. However, transferring fat is deceptively complex and unpredictable for several reasons. This perception is understandable as fat is already part of a person’s anatomy. There is a perception that lower eyelid hollowing is best treated with transferring/grafting a person’s own fat. ![]()
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