the best treatment for eye bags, and why fat transfer under eyes is not encouraged
TRANSCRIPT
The Best Treatment for Eye Bags, and Why Fat Transfer Under Eyes is
Not Encouraged
A lady wants to know how she ought to resolve her lower eye bags. She is confused between moving,
removal and fat transfer.
Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, composed a book a couple of years back called
"The Fine Art of Looking Younger". He has been in practice for 20 years as an expert in oculofacial plastic
surgery. He does a lot of eyelids and facelifts. Facial aging is something that he invests a lot of time on
and he focuses on assisting people comprehend the elements of the facial aging process and how well a
given certain plan impacts it. Dr. Amiya Prasad
Dr. Prasad explains that this woman plainly demonstrates lower eyelid fat prolapse. He explains to his
patients who come in for eyelid examination to take a look at the adjacent location called the eyelid-
cheek junction and location of the cheek called the sub malar location. When someone has bags under
their eyes, it is commonly the dominant function and it impacts the general appearance of their face.
When individuals have an eyelid procedure to deal with the fat pockets, they sometimes believe that
they look hollow or sad. This is because the adjacent locations of the face have likewise aged and due to
the fact that they weren't dominant, the focus was not there.
As a specialist, Dr. Prasad states that fat transfer to the lower eyelids is not advisable. He has actually
seen patients from all over the world who have actually had fat transfer and they end up with
irregularities and swellings. They try to develop and bring back the fat that's been lost then try to
camouflage the fat pockets. However, there are numerous flaws during that concept. The fat that is
under the eye has prolapsed forward like a hernia. Herniated fat needs to be resolved in some way to
restore it in its proper position. MRI studies have shown that people with fat prolapse in fact have more
fat, meaning they have an augmentation or an increase of fat. Thus, it's sensible to do treatments to
minimize or eliminate the fat.
Moving fat from the orbit or the space might make sense but a lot of individuals who get fat
transposition will certainly not have a great result. They will really have persistent swelling in the eyelid-
cheek junction. In Dr. Prasad's practice, he does some fat transposition, however with the majority of his
clients he does fat reduction. It is logical to lower fat that is herniated past the rim to obtain that type of
shape. Issues about hollowing are always resolved. Given that cosmetic surgery is an art, physicians will
have various viewpoints on ways to do the procedures. Every physician comes to the table with their
aesthetic sense, experience and technical abilities. When it comes to medical care and surgical care, it is
actually even more of a gestalt of how the patient feels in terms of their comfort level with the
physician, and their design that's typically demonstrated by taking a look at before and after outcomes.
In the end, it's constantly about trust and convenience. Dr Amiya Prasad
As far as resection vs. transposition, Dr. Prasad thinks a great deal of excellent surgeons do a mix relying
on what they see or whatever is appropriate for the patient. Cosmetic surgery is still ideally about
customization. Some doctors prefer to do things a certain method and they'll constantly do it the same
way. Very frequently, those are the doctors that get themselves in trouble since a particular portion of
clients don't have an anticipated or perfect outcome.
Dr. Prasad thinks meeting with doctors who have a great deal of experience with eyelid surgical
treatment, specifically as a specialty, will most likely assist her make that decision. At this point, she is
somebody who has a little bit of info overload and she just doesn't understand what to do. She must
understand that it's her decision to discover the physician that resonates with her.