Correction of Lower Eyelid Bags
This is one of Dr Camp’s favorite procedures, as it is relatively simple and effective, with little to no downtime. The appearance of bags under the eyes is due to thinning of the skin just below the lower eyelid, and descent of fat down the cheek. The result is a deep trough that exacerbates the protrusion of the lower lid, resulting in the appearance of a bag. Filling the depressed area corrects the problem by blending the lid with the cheek. This can be achieved using filler material, which is temporary (3 months) or using fat, which is permanent. It is fine to try the temporary treatment to see if you like the result, but generally Dr. Camp recommends the permanent solution as it spares your time and expense in the long run. The additional benefit is that fat graft material includes stem cells that regenerate surrounding tissues, reversing some of the damage caused by age and radiation. Details of his personal philosophy regarding facial restoration can be found in Dr Camp’s facial rejuvenation document.
The filler we use is hyaluronic acid, a material that naturally occurs in the body. The material incorporates into the tissues, providing volume and lift. The material then gradually disintegrates and goes away due to body enzymes. Some may claim longer lasting results than 3 months, but that has not been our experience.
Fat grafting is performed with the patient asleep under the care of a board certified anesthesiologist. Using liposuction, fat is carefully harvested, ensuring a sufficient quantity of healthy and viable fat cells. Many patients choose to have areas of the body or face sculpted at this time such as the hips, thighs, or under the chin. After the harvested fat is prepared, it is injected into the areas being enhanced. While not all of the fat is able to establish a blood supply and survive in its new location, the fat that remains after 3 months is likely to be long lasting.
Before & After
What to Expect During Recovery
The recovery from hyaluronic filler administration is immediate. There is no downtime whatsoever.
After fat transfer, experiences vary between patients. Typically, areas where fat was harvested and areas where it was placed will be sore, swollen, and bruised. A standard compression garment will need to be worn on areas where fat was harvested for 4 to 6 weeks. Expect drainage for several days.
Return to Work
Patients typically may return to work in a few days but should postpone strenuous exercise for several weeks.
Other Things to Know
- There is a small chance the hyaluronic filler may make its way into the circulation of the eye, and cause blindness. (This is extremely rare.) We use a technique using round, blunt tipped needles to prevent entry into the vessel, and have never had any issues.
- Because the patient’s own fat tissue is used, there is no risk of allergic reaction with fat grafting.
- It may be necessary to return for follow-up treatments if fat does not take evenly or if additional fullness is desired.