Eyelid Surgery - Correction of Tear trough and Blepharoplasty

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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.

Processing of fat is very important. It is important that while fat should not be exposed to air, we must discard all oil and blood cells from fat, to achieve the best result

Procedure of fat injection
Fat, after processing is always injected with a very fine canula below the muscle in the eyelids. This helps to give a smooth appearance. Restylane and other fillers are temporary and their effect do not last for over 5-6 months, while fat is a permanent agent, and gives long lasting results

Vascularised fat transfer for tear trough correction

In a previous article, blepharoplasty procedure has been well detailed. During the process, fat from the lower eyelid is mobilized, and used to fill the depression, that causes the tear trough deformity. This is an excellent procedure for eyelid rejuvenation as well as correction of tear trough deformity

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About Me Dr Amit Gupta is a Plastic Surgeon from Maulana Azad Medical College, Delhi, who has specialized in the fields of Minimally Invasive Cosmetic Surgery, Microfollicular Hair Transplant, and Lasers. He was awarded with Gold Medal during his training for his academic days, Dr Amit Gupta joined the superspeciality Course of Plastic Surgery at Maulana Azad Medical College which he cleared in 2007 in his attempt. During his training he underwent training in Burns Trauma Management Cancer and Microvascular Surgery Reconstructive and Congenital Defect Correction Surgery. He then pursued specialized fellowships in Cosmetic Surgery in Belgium (Europe) and Brazil. He has trained with Dr Patrick Tonnard in Belgium where he was trained in MACS Lift Surgery which is the most current development in the field of Facial Rejuvenative Surgery in Europe. He then pursued fellowships in Cosmetic Surgery in Brazil where he trained with the likes of Dr Ruth Graf and Dr Ana Zulmira who are regarded as icons in Cosmetic Surgery