Aesthetic Blepharoplasty and Fat Grafting to Lower Lids

Here I am performing an upper and lower lid blepharoplasty.  Once I have achieved the desired outcome in the lids, I prepare to perform the final step which involves stem-cell fat grafting to the lower lids. This allows for an optimal improvement in the tear-trough depression that often persists when they are not separately addressed. There are various ways that this area of the lids can be addressed, either through fat repositioning, skin or muscle redraping, or fillers.  Furthermore, there are various types of fillers that can be used; this particular patient wanted to use her own body's stem-cell fat to achieve this goal.