Eyelid Surgery – Correction of Tear trough and Blepharoplasty

Tear trough is the hollowness that develops in the lower eyelid, as we age, and makes the eyes look older than they are. There is a sadness associated with these eyes, and surprisingly is also found in younger individuals. Correction of the tear trough deformity is a difficult issue, having said that remedial measures are available in the form of fat injections and actual blepahroplasty with vascularised fat transfer

Fat Injection
Autologous fat transfer is an established technique to correct the tear trough deformity. It is not very popular among plastic surgeons because a lot of us fear that fat tends to get absorbed and leaves a lumpy bumpy deformity; however, when properly done. This is not so common and gives good results. The important things here and issues that clinch the issue is the technique of fat harvestation. It is important to select fine canulas to harvest fat. It is said that fat around the knees is ideal for this problem, since here the amount of fibrous tissue is the minimum and fat tends to be smaller and looser in its consistency. Abdominal fat tends to have a lot of fibrous tissue, and the fat globules are much larger.

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Blepharoplasty
Introduction
Eyes are the mirror to the world. Indeed and eyes speak so much about the face of a person. They give out the inner emotions of the person, even when the person is trying to be someone else. And unfortunately they convey the age of a person, even if that person does not feel that old. Very early age related changes are easily visible in both the upper as well as the lower eyelid. An ageing lower eyelid with its hanging fat bags gives the feeling that the person is actually older than he is. in addition the tear trough deformity that is often present (the hollow crease present below the eyes), further aggravates the situation.
It is possible surgically to correct this to a large extent, in a process known as blepharoplasty or eyelid rejuvenation surgery.
Causation of the “ageing eyelids”
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