Question
What's the most safe and effective way to remove fat pads from the lower eyelids?
Which is the most safe and effective way to remove fat pads from lower eye lids: blepharoplasty or mesotherapy?
Is mesotherapy safe to inject into the eye sacks? Is blepharoplasty more accurate than mesotherapy? I have fat pads - although not bad but noticeable. I am a 23-year-old African-American. I would like them to be removed, but if I can go the non-invasive way, I will. Thanks!
Asked by: Erica, Newark
Answers (3)
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1
October 11, 2008
Do NOT use mesotherapy on your eyelids!
Mesotherapy is not FDA approved. The formulations that people are using are not standardized, and the results are unpredicatable. Removal of a precise amount of fat in necessary to get a good result on the lower eyelids - if too much is left, you buldge. If too much is taken, you look hollow. If you are considering doing something to your lids, see a board certified surgeon and discuss your goals. Most likely you could benefit from a controlled transconjunctival blepharoplasty.
Be safe!
2
July 8, 2008
Board Certified
Facial Plastic Surgeon
Facial Plastic Surgeon
Answer by William A. Portuese, MD
Each lower eyelid consists of three compartments of fat that is removed through a transconjunctival approach (the inside of the lower lid). The fat is teased out, and the base is cauterized to make sure it does not bleed around the eyeball. This usually does not effect a change in the shape of the eyelid.
If excess skin is then encountered on the lower lid, a pinch technique can be done to remove excess skin. This is done with a small incision made at the subciliary line right below the eyelashes (usually 2-3mm). This incision is then closed with tissue glue.
The incision on the inside of the lower lid heals on its own without any sutures or glue.
Web reference: http://www.seattlefacial.com
3
February 3, 2008
Board Certified
Facial Plastic Surgeon
Facial Plastic Surgeon
Answer by John M. Roesler, MD
Transconjunctival lower eyelid blepharoplasty is 100% the way to go, especially for a young person who has genetic (versus age-related) orbital fat pseudoherniation. I recommend this procedure for patients with lower eyelid 'fat bags' related to aging, as well. There are no visible scars and the results are excellent in experienced hands. While injectables are an effective means to recontour and smooth the transition between the lower eyelids and the cheek, they are temporary. Mesotherapy is not FDA-approved and has no U.S. studies to evaluate safety or efficacy; do not take a chance on this treatment around your eyes!
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10/18/08
I got eyebugs when i was 13 years old. and it's impossible if i got it by my hereditary. how to take it off?
11/2/08
Do you recommend a doctor to perform transconjuctival blepharoplasty? How much would this procedure cost?
I Thank You in advance for your help.
Arlene