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Dr. Gerzenshtein

Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon

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What is the difference between aggressive post-septal fat excision, conservative excision, or post-septal fat repositioning?

Go Back to Eyelid Surgery

Exploring the Differences: Aggressive vs. Conservative vs. Repositioning Techniques for Post-Septal Fat Excision

Excessive removal of post-septal or peri-orbital fat that causes lower lid bulging is thought to cause a hollowed out appearance to the eyes in the long-term post-operative period. No good studies to this effect have been carried out, but the thought and the anecdotal evidence does seem to indicate that post-septal fat excision should be conservative, or just enough to get the job done. Aside from removing the fat, a good approach has been to position a tongue of the fat within the lower lid groove, especially towards the nasal side to fill in the circles under the eyes, and smooth the transition between the cheek and lower lid fat.

Aggressive Post-Septal Fat Excision

Surgeons use aggressive post-septal fat excision as a technique to remove excess fat deposits in the midface region. During this procedure, the surgeon makes precise incisions to access and excise the post-septal fat pads. The goal is to achieve significant fat reduction for a more defined facial contour.

Conservative Excision

When preferring a more conservative approach, the surgeon may recommend conservative excision of post-septal fat.. With this technique, the surgeon removes a moderate amount of fat, targeting specific areas of concern while preserving a natural and balanced appearance. The emphasis is on achieving subtle improvements without excessive fat removal.

Post-Septal Fat Repositioning

Post-septal fat repositioning is a specialized technique that involves repositioning the fat pads in the midface area rather than removing them entirely. By redistributing the fat pads to areas with volume loss, this technique can restore youthful fullness and enhance facial harmony.

Conclusion

Understanding the differences between aggressive post-septal fat excision, conservative excision, and post-septal fat repositioning is crucial in choosing the right approach for your cosmetic goals. Consulting with a qualified plastic surgeon will help determine the most suitable technique to achieve the desired results while considering your individual needs and preferences. Trust the expertise of a skilled professional to guide you towards a more rejuvenated and harmonious facial appearance.

Check out our gallery of before and after images for blepharoplasty here.

Learn more about eyelid surgery here.

Call us today at 863.647.2200 to schedule a consultation.

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  • 4429 Florida National Dr.
    Lakeland, FL 33813
  • 863.647.2200
  • jacob@fineryou.com
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