01/15/2026
Lower Eyelid Blepharoplasty with Fat Transposition
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When you have under eye puffiness, the treatment is surgical. There is no other more effective, safer, long term solution.
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In this surgery, I go through the inside of the eyelid and identify your fat pads. Then I move these fat pads to the cheek in order to create a more smooth eyelid-cheek junction. We sometimes combine this with CO2 laser and fat grafting as well although this was not done here in this case.
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This surgery is done in the surgery center under sedation, not in office.
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She does have Botox in her after pictures which accounts for reduction of lines in the crows feet area.
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Limitations of this surgery- does not fix anatomical asymmetries related to bone, eyeball position etc, true hyperpigmentation of skin, skin laxity (need laser or skin pinch), etc.
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Questions?