Eyes

Blepharoplasty with fat transposition: how it is done and the results

Blepharoplasty with fat transposition is a contemporary technique that can offer very satisfactory results. Find out in which cases the technique is indicated. As we age, a progressive separation between the eyelid area and the cheek becomes noticeable. This depression becomes increasingly visible as the fat bags…

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Blepharoplasty with fat transposition is a contemporary technique that can offer very satisfactory results. Find out in which cases the technique is indicated.

As we age, a progressive separation between the eyelid area and the cheek becomes noticeable. This depression becomes increasingly visible as the fat bags of the lower eyelids enlarge and facial fat volumes decrease.

Blepharoplasty with fat transposition is an advanced technique in which we individually release the three fat compartments of the lower eyelid and secure this fatty tissue lower down, toward the cheek. To do so, it is also necessary to release the muscles and ligaments of the upper part of the cheek, allowing the eyelid fat to settle in this area.

The end result is a natural filling of the depression known as the tear trough. Traditional blepharoplasty does not adequately correct this problem, since removing fat alone is not enough to harmonize the line of demarcation between the eyelids and the midface.

One of the main features of facial aging is the loss of volume in the fat pads throughout the face. The more pronounced this loss, the more visible the line of demarcation between the eyelids and the cheeks. Whenever there is enough fat to be repositioned, we should do so, since it tends to be progressively lost over the years.

Recovery after blepharoplasty with fat transposition

Because this is a more advanced technique that also involves the midface, swelling in this area is somewhat greater and recovery is somewhat slower, which is why, whenever possible, we recommend facial lymphatic drainage and the application of taping in the immediate postoperative period. Other measures, such as cold compresses, rest, proper nutrition, and medication, remain the same as in our usual routine.

Modern blepharoplasty surgery with fat transposition can be combined with laser, a brow lift, or even a facelift, with excellent results.

The vast majority of patients over 45 are candidates for this surgery. So far, great benefits of this technique have been observed, and we cannot yet point to any specific contraindication, except in cases without enough fat bags for repositioning.

This content is for informational purposes only and does not replace a consultation. Whether any procedure is indicated depends on an in-person assessment, case by case. CRM SP 90.116 | RQE 11.350.

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