coding jesus teaches us about fat graft in the eye region

@lurking truecel

As far as I understand it, lower bleph and fat repositioning are mainly indicated when there’s actual bagging or fat herniation. In cases without visible bags or excess skin, removing or repositioning tissue seems like it could risk hollowing rather than improving things.

For context, I consulted with a very experienced surgeon who did suggest a lower bleph, but I opted for fat grafting only since I don’t really have bagging fat or excess skin.

I’m genuinely curious how you personally assess this from someone’s profile or photos. What are the key signs that make someone a poor candidate for infra fat grafting? Orbital rim position, negative vector, septal laxity, age, skin quality?
Did you ever get an answer?
 
How exactly do you do it in a smart way? What should you ask/look for
I mean you need to be honest to yourself and look in to the cause which he probably didnt. Also go to mutliple surgeons for good advice as most surgeons differ
 
I mean you need to be honest to yourself and look in to the cause which he probably didnt. Also go to mutliple surgeons for good advice as most surgeons differ
Some surgeons will say fatgraft is subpar and fillers are better cuz you can correct it, more control etc.
Others love it and fix patients eye area failo with.

theres almost no in between
 
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I mean you need to be honest to yourself and look in to the cause which he probably didnt. Also go to mutliple surgeons for good advice as most surgeons differ
You mean the cause of the hollowing? Could you elaborate
 
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@lurking truecel

As far as I understand it, lower bleph and fat repositioning are mainly indicated when there’s actual bagging or fat herniation. In cases without visible bags or excess skin, removing or repositioning tissue seems like it could risk hollowing rather than improving things.

For context, I consulted with a very experienced surgeon who did suggest a lower bleph, but I opted for fat grafting only since I don’t really have bagging fat or excess skin.

I’m genuinely curious how you personally assess this from someone’s profile or photos. What are the key signs that make someone a poor candidate for infra fat grafting? Orbital rim position, negative vector, septal laxity, age, skin quality?
Could u pm? i have some questions about blephs
 
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Also @lurking truecel do u think this result is possible with lower&upper bleph with fat grafts and fat move? + lateral canthus fix
IMG 4103

i recently posted this on bleph group on facebook and they are retarted telling me im so young to get this procedure.
 
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Also @lurking truecel do u think this result is possible with lower&upper bleph with fat grafts and fat move? + lateral canthus fixView attachment 4603848
i recently posted this on bleph group on facebook and they are retarted telling me im so young to get this procedure.
I mean you changed the color, then you would need laser to change pigment
 
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I mean you changed the color, then you would need laser to change pigment
Thats little of eyebags+dark circles thats why i want to go with lower bleph, my mom who is 40 yrs old has literally same thing and she fits perfect to get this surgery
 
Thats little of eyebags+dark circles thats why i want to go with lower bleph, my mom who is 40 yrs old has literally same thing and she fits perfect to get this surgery
Lower bleph is almost never needed young, its a thing the comes fast with age for sum. Its useless doing bleph before atleast 25
 
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Lower bleph is almost never needed young, its a thing the comes fast with age for sum. Its useless doing bleph before atleast 25
What u recommend tho? fat grafts? i just want to get rid of dark circles and improve hooding
 
I have like 3 more months to plan it, in may i want to get consultations
 
What u recommend tho? fat grafts? i just want to get rid of dark circles and improve hooding
Probably infras and fat grafting it really just depends, you should do scans and get input from surgeons

Or just concealer-max + eyelash-max and don't hardmax at all
 
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What u recommend tho? fat grafts? i just want to get rid of dark circles and improve hooding
Start with the easiest stuff, like laser because it will make the skin thicker due to scar tissue. This can improve pigment and hollowing slightly.
I have like 3 more months to plan it, in may i want to get consultations
Snd during consult the surgeon will be able to give more info
 
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Start with the easiest stuff, like laser because it will make the skin thicker due to scar tissue. This can improve pigment and hollowing slightly.

Snd during consult the surgeon will be able to give more info
Alr, recently i started with makeup so i put bb cream for this and i will see laser treatment opinions, even tho i think i could get upper bleph anyway, theres just too much skin i think thats only things i can do it for now
 
Or just go to rattinan and say inshallah ascension
 
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Probably infras and fat grafting it really just depends, you should do scans and get input from surgeons

Or just concealer-max + eyelash-max and don't hardmax at all
I think fat grafts will benefit me anyway since i have brutal tear troughs , and ye i have to do eyelashes max too
 
Start with the easiest stuff, like laser because it will make the skin thicker due to scar tissue. This can improve pigment and hollowing slightly.

Snd during consult the surgeon will be able to give more info
do u think that if u still have prominent dark circles after saddled infras but not much hollowing what would be better laser or fat graft
 
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do u think that if u still have prominent dark circles after saddled infras but not much hollowing what would be better laser or fat graft
Hard to say, maybe both
 
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he should have done a bleph and fat repostioning instead
But in his before photo he doesnt have any loose skin or puffiness under the eyes that a typical bleph candidate would have (like the before pic of the woman you showed in your example) he just seems to have hollowness so a bleph wouldnt do anything for him

1769977992681
 
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But in his before photo he doesnt have any loose skin or puffiness under the eyes that a typical bleph candidate would have (like the before pic of the woman you showed in your example) he just seems to have hollowness so a bleph wouldnt do anything for him

View attachment 4607720
1769978366946


Look at this pic again, fat from fat graft is infront of the orbital septum. You can have hollowness infront of the orbital septum but still have it prolapsing. A bleph will fix the fat behind the orbital septum. But putting fat on top(infront of the orbital septum left of the red line) even if hollow but the orbital septum is prolapsed you will have bulging because the fat sit on top of a prolapsed septum. This is the trickery and why its so hard to predict
 
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View attachment 4607731

Look at this pic again, fat from fat graft is infront of the orbital septum. You can have hollowness infront of the orbital septum but still have it prolapsing. A bleph will fix the fat behind the orbital septum. But putting fat on top(infront of the orbital septum left of the red line) even if hollow but the orbital septum is prolapsed you will have bulging because the fat sit on top of a prolapsed septum. This is the trickery and why its so hard to predict
so what is to be done? If he gets lower bleph now, will he be good or is it the case that bleph should be performed before the fat graft?
 
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so what is to be done? If he gets lower bleph now, will he be good or is it the case that bleph should be performed before the fat graft?
Yea he would need bleph now somehow, or maybe just less fat
 
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What u recommend tho? fat grafts? i just want to get rid of dark circles and improve hooding
I mostly agree w/ @lurking truecel lower blephs are almost never needed if your sub-30. There mostly needed as a result of age related tissue sagging. If your trying to reduce hooding, like the pic you showed then you could get an upper bleph, some ethnic phenotypes are born with more hooding. I think hooding's a + for men and a - for women but to each his own.

For dark circles there's actually a very extensive number of ways to address these, none of them are necessarily going to be a cure all. Dark circles are a bitch to fix. If the issue is vascular in nature, then I'd really recommend starting with a vascular laser first, 2-3 rounds of vbeam or advatx.

No reason to create more occlusion immediately before a vascular laser, ie fat grafts or skin thickening.

Then do HQ(if you have pigment) -> fractionated laser(fraxel to co2 w/e you prefer) -> Fat graft

If there still there after all that, then i'd go to ezgel.

This is ofc primarily for vascular. If its primarily pigment based then ways to address it are more limited. HQ if you can tolerate it, into fractionated laser, is basically what you got.
 
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I mostly agree w/ @lurking truecel lower blephs are almost never needed if your sub-30. There mostly needed as a result of age related tissue sagging. If your trying to reduce hooding, like the pic you showed then you could get an upper bleph, some ethnic phenotypes are born with more hooding. I think hooding's a + for men and a - for women but to each his own.

For dark circles there's actually a very extensive number of ways to address these, none of them are necessarily going to be a cure all. Dark circles are a bitch to fix. If the issue is vascular in nature, then I'd really recommend starting with a vascular laser first, 2-3 rounds of vbeam or advatx.

No reason to create more occlusion immediately before a vascular laser, ie fat grafts or skin thickening.

Then do HQ(if you have pigment) -> fractionated laser(fraxel to co2 w/e you prefer) -> Fat graft

If there still there after all that, then i'd go to ezgel.

This is ofc primarily for vascular. If its primarily pigment based then ways to address it are more limited. HQ if you can tolerate it, into fractionated laser, is basically what you got.
Be extremly careful with laser tho in the region as you can make the skin thinner if the setting is high enough, that's why you need a really good doctor for the laser. Can be horrible if you does it thinner because then that irreversible
 
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I mostly agree w/ @lurking truecel lower blephs are almost never needed if your sub-30. There mostly needed as a result of age related tissue sagging. If your trying to reduce hooding, like the pic you showed then you could get an upper bleph, some ethnic phenotypes are born with more hooding. I think hooding's a + for men and a - for women but to each his own.

For dark circles there's actually a very extensive number of ways to address these, none of them are necessarily going to be a cure all. Dark circles are a bitch to fix. If the issue is vascular in nature, then I'd really recommend starting with a vascular laser first, 2-3 rounds of vbeam or advatx.

No reason to create more occlusion immediately before a vascular laser, ie fat grafts or skin thickening.

Then do HQ(if you have pigment) -> fractionated laser(fraxel to co2 w/e you prefer) -> Fat graft

If there still there after all that, then i'd go to ezgel.

This is ofc primarily for vascular. If its primarily pigment based then ways to address it are more limited. HQ if you can tolerate it, into fractionated laser, is basically what you got.
Ye it def vascular problem but thx, what about upper bleph&fat graft then ?
 
Be extremly careful with laser tho in the region as you can make the skin thinner if the setting is high enough, that's why you need a really good doctor for the laser. Can be horrible if you does it thinner because then that irreversible
Thanks i hope it goes well
 
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@lurking truecel can upper bleph fix this?
 

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Ye it def vascular problem but thx, what about upper bleph&fat graft then ?
Depends on goal but it’s more one or the other. No sense to add volume with fat graft if your goal is to reduce hooding with bleph.
 
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Depends on goal but it’s more one or the other. No sense to add volume with fat graft if your goal is to reduce hooding with bleph.
Bleph removes excess skins and folds, fat graft can still be viable if it looks to hollow when the excess skin is gone. Bleph and fat graft allways goes hand in hand
 
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Bleph removes excess skins and folds, fat graft can still be viable if it looks to hollow when the excess skin is gone. Bleph and fat graft allways goes hand in hand
I’ve never known a surgeon to do such a combo. Traditionally they removed fat when doing upper bleph but that’s become more controversial in the last 10 years. So some do, some go skin only.

IG in some congenital cases maybe, just never seen an actual example of the combo.
 
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I’ve never known a surgeon to do such a combo. Traditionally they removed fat when doing upper bleph but that’s become more controversial in the last 10 years. So some do, some go skin only.

IG in some congenital cases maybe, just never seen an actual example of the combo.
I mean most good ones do, but all do fat repositioning. So often you dont need to harvest new one. In lower bleph you can harvest from behind the septum and put infront. Fixing two problems with one stone
 
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My plan is to get 3x session vascular laser to reduce dark circles then fat graft with upper bleph in same time. it will get me rid of dark
circles&crow feet and improve eye aesthetic
Yea it could
@Firstname.Lastname
@lurking truecel
Btw is it worth to travel to thailand?
Bleph with fatgrafts is like 2.5k in my country (Poland) but idk if surgeon are good, i heard thailand is goated for this
 
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My plan is to get 3x session vascular laser to reduce dark circles then fat graft with upper bleph in same time. it will get me rid of dark
circles&crow feet and improve eye aesthetic

@Firstname.Lastname
@lurking truecel
Btw is it worth to travel to thailand?
Bleph with fatgrafts is like 2.5k in my country (Poland) but idk if surgeon are good, i heard thailand is goated for this
Sounds like a good plan, going to thailand vs own country depends on the surgeon. I dont know how much it differs. I doubt they are so much worse in poland if you go to a good clinic.
 
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Sounds like a good plan, going to thailand vs own country depends on the surgeon. I dont know how much it differs. I doubt they are so much worse in poland if you go to a good clinic.
Bleph is popular there so surgeons may be good i think idk about fat grafts
 
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My plan is to get 3x session vascular laser to reduce dark circles then fat graft with upper bleph in same time. it will get me rid of dark
circles&crow feet and improve eye aesthetic

@Firstname.Lastname
@lurking truecel
Btw is it worth to travel to thailand?
Bleph with fatgrafts is like 2.5k in my country (Poland) but idk if surgeon are good, i heard thailand is goated for this
Well I fairly sure I'm close to the same phenotype as you.

I also have things like congenital dark circles & hooding. I had 3 rounds of vascular laser and fat grafting.
While they are a lot better, they are not gone.
I might need more vascular laser as I've heard its a once a year thing and its been along time.

As far as travel, blephs and fat grafts tend to be more forgiving procedures. So the skill of the surgeon matters less then with many other procedures IMO. Obvi don't go to someone sketchy but you don't need to be ultra picky like with many procedures. 2.5k for both is very cheap I'd try and do it there.
 
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Well I fairly sure I'm close to the same phenotype as you.

I also have things like congenital dark circles & hooding. I had 3 rounds of vascular laser and fat grafting.
While they are a lot better, they are not gone.
I might need more vascular laser as I've heard its a once a year thing and its been along time.

As far as travel, blephs and fat grafts tend to be more forgiving procedures. So the skill of the surgeon matters less then with many other procedures IMO. Obvi don't go to someone sketchy but you don't need to be ultra picky like with many procedures. 2.5k for both is very cheap I'd try and do it there.
Thanks, keep in contact for now when i cannot afford it rn i will use makeup
 
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But in his before photo he doesnt have any loose skin or puffiness under the eyes that a typical bleph candidate would have (like the before pic of the woman you showed in your example) he just seems to have hollowness so a bleph wouldnt do anything for him

View attachment 4607720
damn this picture really shows what lurking truecel is talking about
look at his infraorbital bone its so low and also clearly behind the eyeball
 
damn this picture really shows what lurking truecel is talking about
look at his infraorbital bone its so low and also clearly behind the eyeball
Could infraorbital implants even save him?
 
Sounds like a good plan, going to thailand vs own country depends on the surgeon. I dont know how much it differs. I doubt they are so much worse in poland if you go to a good clinic.
i took photo rn of my uee i thinks i suit perfect for upper bleph, should i only go for skin remove? not fat remove too
 

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Firstly yes some fat will resorb probably becasuse its day 20, but most of it will not if he is unlucky.

Its such a obv case where he did the wrong procedure for his problems. because when you have recessed infras you dont want to do so much fat graft in the under eye.

and here is the reason why, becuase with recessed infras you are prone to orbital septum prolapse

View attachment 4583171


adding to much fat here when the problem is infras being recessed and the orbital septum is prolapsed + you are relatively old. Then you need to do bleph and fat repositioning instead.

Look here how his undereye is worse after fat and his tear through is even more visible.


View attachment 4583169


and his surgeon say cope with this bs lololol, he should have done a bleph and fat repostioning instead. this is like a surgeon putting on tape after rhino to change the shape lol.
View attachment 4583170


But yea obv he has done a speed run to get bulging fat in the infra like this lady who needed bleph
View attachment 4583172


Dont be a low iq surgery maxxer guys, even if its hard not to be.

View attachment 4583167

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i have no hate towards coding jesus btw, but thanks for the learning experience. maybe this thread becomes invalid if the fat looks better with time. But i doubt it
isn't he stil swelling? you have to wait a couple months dude
 
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@lurking truecel

As far as I understand it, lower bleph and fat repositioning are mainly indicated when there’s actual bagging or fat herniation. In cases without visible bags or excess skin, removing or repositioning tissue seems like it could risk hollowing rather than improving things.

For context, I consulted with a very experienced surgeon who did suggest a lower bleph, but I opted for fat grafting only since I don’t really have bagging fat or excess skin.

I’m genuinely curious how you personally assess this from someone’s profile or photos. What are the key signs that make someone a poor candidate for infra fat grafting? Orbital rim position, negative vector, septal laxity, age, skin quality?
you are exactly right

OP is wrong on many posts, I think he should get banned
 
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