Fat Grafting in Revision Eyelid Surgery: When Is It Necessary?

Even a subtle imperfection after eyelid surgery can affect how you feel about your results. For patients who have previously undergone blepharoplasty and are unhappy with the outcome, revision eyelid surgery offers a second chance.

In some cases, though, surgical revision alone isn’t enough. If you’ve noticed hollowness, asymmetry, or an unnatural look after your eyelid surgery, fat grafting may help improve your appearance and confidence.

At Ophthalmic Plastic & Cosmetic Surgery Inc., Dr. John B. Holds, Dr. Adam G. Buchanan, and Dr. Sara Reggie Giardina perform highly personalized revision procedures rooted in decades of specialized experience. As fellowship-trained surgeons, they understand both the science and artistry of reconstructing delicate eyelid anatomy.

What Is Fat Grafting?

Fat grafting, also known as autologous fat transfer, involves harvesting fat from one location (usually the abdomen or thighs), purifying it, and then carefully injecting it into areas of the face that have lost volume. When performed during revision eyelid surgery, it can:

• Smooth out hollowed or sunken eyelids.
• Correct contour irregularities.
• Restore symmetry.
• Enhance overall facial harmony.

Unlike dermal fillers, which provide temporary changes, fat grafting can offer long-lasting or even permanent improvement.

When Is Fat Grafting Necessary in Revision Eyelid Surgery?

Fat grafting is not required in every revision case, but it can be crucial when volume loss contributes to an unsatisfactory result. Some common scenarios where fat grafting might be appropriate include:

• Excess tissue removal: If too much skin or fat was removed during your initial surgery, fat grafting can restore a fuller, more natural contour.
• Post-surgical hollowing: A hollow look beneath the eyes can make you appear tired or aged. Strategic fat transfer softens this effect.
• Asymmetry: If one eye seems different from the other due to uneven healing or surgical technique, fat grafting can improve balance.
• Scar-related indentations: Fat injections can smooth out depressions caused by scarring or poor wound healing.

Drs. Holds, Buchanan, Giardina, and Gervasio approach each revision with meticulous care, tailoring every procedure to the patient’s specific facial structure and aesthetic goals.

Learn More About Your Options

If you’re dissatisfied with the outcome of previous eyelid surgery, fat grafting may provide the enhancement you need.

Contact Ophthalmic Plastic & Cosmetic Surgery Inc. to schedule your consultation. Call 314-567-3567 today and make an appointment at our St. Louis, St. Peters, or Arnold locations.