Why Fat Repositioning with Lower Eyelid Surgery is Not Advised; and Other Treatments for Hollowness

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New York oculoplastic surgeon Amiya Prasad, MD reviews the possible risks of fat repositioning with a lower blepharoplasty, the potential for hollowing after lower eyelid surgery, and recommended treatments to address under eye bags with accompanying hollowness under the eyes:

0:00 - Intro music

0:17 - Introduction to eye bag surgery with fat repositioning

1:15 - Dr. Prasad's credentials in oculoplastic surgery, and cosmetic and reconstructive surgery

1:51 - How fat can cause puffy eye bags

2:10 - What lower eyelid fat prolapse is, and how to address it

2:30 - What bilateral lower eyelid blepharoplasty is

2:40 - What transcutaneous blepharoplasty is

2:50 - Dr. Prasad details his preferred procedure for under eye bags called transconjunctival blepharoplasty

3:20 - How transconjunctival blepharoplasty can minimize the risks for common complications associated with lower eyelid surgery

3:30 - The common complications of lower eyelid surgery, such as lower eyelid retraction

3:40 - How lower eyelid retraction may appear like hollowing

3:53 - How lower eyelid blepharoplasty with fat repositioning can address hollowing

4:30 - Dr. Prasad discusses the potential complications of lower eyelid blepharoplasty with fat repositioning

5:01 - How the bending or kinking of blood supply during lower eyelid blepharoplasty with fat repositioning can deprive fat of oxygen and nutrition causing fat to die

5:27 - Why many eyelid surgeons initially supporting fat repositioning stopped performing the procedure

6:22 - The possibility of prolonged swelling from fat repositioning surgery, due to its unpredictability

6:45 - Dr. Prasad highlights the importance of looking at the eyes and cheeks together

7:23 - Dr. Prasad shares effective procedures to address bone volume loss such as Structural Volumizing that uses deep placement of hyaluronic acid fillers

7:42 - Before and after sample photos of transconjunctival blepharoplasty and cheek filler, and other procedures

8:14 - The difference in the safety and predictability of fat repositioning and hyaluronic acid filler treated with hyaluronidase

8:41 - Dr. Prasad shares his experience with transconjunctival lower eyelid blepharoplasty, and the minimal downtime required

8:57 - Dr. Prasad’s closing remarks regarding fat repositioning, and his recommended procedures to address eye bags

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