As we age, one of the natural changes that occurs in the face is the loss of fat in the under eye area. This fat loss highlights other age-related changes such as reduced elasticity and sagging skin. All of these together result in sunken-in eyes, “bags” under the eyes, and fine lines and wrinkles. A lower eyelid blepharoplasty surgery with fat transposition is a technique that preserves the natural volume under the lids, using the excess fat to fill in the groove below. In this blog, we’ll be answering some of the most commonly asked questions surrounding the lower eyelid blepharoplasty surgery with fat transposition procedure.

Does lower blepharoplasty change eye shape?

Ideally, a lower blepharoplasty would not change the shape of the eyes whatsoever. However, a traditional blepharoplasty procedure carries with it a slight risk of minor changes to the eye shape. This is less common nowadays with better surgical methods. Your doctor will discuss with you beforehand if this side effect is expected. A transconjunctival blepharoplasty (learn more about this procedure below) however, better preserves the shape of the eye due to the method. 

How long does it take to heal from lower blepharoplasty with fat deposition?

A lower blepharoplasty is an outpatient procedure, meaning you’ll get to go home the same day. After, there will be some bruising and swelling, as with many surgical procedures. You should be able to return to work within about 10 days post-surgery. 2-3 weeks later, for most people, all of the swelling and bruising will have dissipated. Final results are visible between 4-6 weeks after surgery. 

What is Transconjunctival blepharoplasty with fat transposition?

A transconjunctival blepharoplasty is a specialized type of blepharoplasty performed on the lower eyelids. It creates no external scars; instead, the incision is made on the inside of the eyelid. The natural fat within your eyelid is transpositioned so that it fills out any hollow areas and no longer “pools” in the bottom of your lower lids, thereby reducing the look of bags under the eyes. 

Is it safe?

Not only is this procedure safe, it carries less risks than traditional eyelid surgery. There is less risk of changes to the shape of the eye, and less trauma on the eye area. This procedure also has reduced swelling and bruising compared to one with external incision.

A lower eyelid blepharoplasty surgery with fat transposition is a highly specialized procedure requiring someone who knows the eye anatomy well. Dr. Edmund Fisher is highly qualified and has many years of experience performing this procedure.