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UNDER-EYE MICRO FAT INJECTION AND TCA PEELING

The treatment I prefer for addressing under-eye volume loss is this
combined procedure. I am not particularly fond of using artificial
fillers under the eyes. You can also refer to my article on
"non-surgical treatments" for more information on under-eye fillers.

TABLE OF CONTENTS

	* What is it?
	* Post-Procedure Process
	* Duration and Longevity
	* What It Is Not

WHAT IS IT? On the inner side of your legs, right next to your knees,
there is a fat pad with a high compatibility to the facial area. It
has a small particle size and is relatively resistant to hormonal
changes. Most people have this fat pad and are not particularly fond
of it.

We numb the area from which the fat will be taken (the inner leg) and
the under-eye area with very fine needles, similar to those used for
Botox injections. The total pain level of the procedure is comparable
to a Botox treatment. We then use cannulas, which are fat collection
needles, to extract 10-15 milliliters of fat from the inner knee area.
This fat tissue is processed through a special filter to reduce the
size of the fat clusters. We then inject this processed fat into the
"target area" under the eyes using a special technique and very fine
cannulas. The term micro fat injection refers to the thinness of the
cannulas and the fact that the transferred fat particles are smaller
than a millimeter. During the procedure, the injection cannula creates
a sort of mesh within the tissue, distributing small amounts of fat
with each pass. To achieve a 5-milliliter volume, we make
approximately 50 passes. This mesh technique minimizes visible
lumpiness and irregularities in the delicate under-eye area.

Under-eye fat injection is applied not inside the eyelid but within
the cheek mass beneath the eye and at the junction of the cheek and
lower eyelid. The goal is to minimize the volume loss that occurs in
the uppermost layer of the cheek mass during the aging process.

After the fat transfer is complete, we perform a chemical peel using a
medical acid solution known as TCA. Following the chemical peel, the
treated area turns white within the first 30 minutes, followed by a
mild redness. We apply antibiotic eye ointment over the peeled area
and prescribe antibiotics before sending you home.

POST-PROCEDURE PROCESS Due to the mesh technique and the movement of
cannulas within the tissue, there will be noticeable swelling and mild
bruising under the eyes post-procedure. This swelling and bruising
will subside to a level where it can be covered with light makeup
within 5-7 days, allowing you to return to social and work life. The
skin of the lower eyelid will form a thin crust within 24 hours
post-procedure, which will peel off within 5-7 days. The duration of
the peeling process depends on the depth of the peel and the strength
of the chemical used. The peeling process occurs naturally, and you do
not need to do anything to assist it. During this period, you can wash
and cleanse your face. If you can take a week off work, that would be
ideal.

DURATION AND LONGEVITY Of the total 10 milliliters of fat tissue we
extract from the leg and apply under both eyes, 1-4 milliliters will
remain after 6-8 weeks. This remaining volume will age with you, as it
is not temporary but permanent.

Predicting whether 1 or 4 milliliters will remain in each patient is
very difficult, as the survival rate of the fat is highly dependent on
individual factors. For instance, fat retention tends to be lower in
smokers.

For this reason, we inform candidates for micro fat injection that 1-3
sessions may be needed to achieve the desired effect. While some
patients achieve the desired result with one application, others may
not reach the target volume even after three sessions. Each session
has a separate application fee.

The uncertainty in the survival rate of the fat can be frustrating.
After all, people want clear results for the money they spend, but
unfortunately, tissue transfers are governed by biological rather than
economic limits.

We do not use this procedure to fill in sunken faces caused by the
aging process.

There is a lifelong volume loss process that begins in the thirties.
We use this procedure as a "maintenance treatment" during this
process. For example, when we perform 3-4 sessions between the ages of
30 and 40, the volume loss at 40 years old is less. It has a
preventive philosophy.

TCA peeling and micro fat injection are complementary treatments that
enhance each other’s effects. Peeling is a procedure based on
creating controlled surface damage so that the body renews the surface
more smoothly. We believe that the stem cells within the micro fat
tissue help with the renewal after peeling. Peeling also helps to
correct fine lines on the skin surface and tighten the lower eyelid
skin.

WHAT IT IS NOT This procedure is not a surgery. It is neither as
effective nor as permanent as surgery. It does not replace surgery.

After an examination, we may determine that an eyelid surgery or
mid-face lift surgery is a more suitable option for treating your
under-eye problems. In such cases, I do not recommend or perform micro
fat tissue transfer + TCA peeling. Therefore, we do not work on a
"request basis" like "Doctor, I will come from abroad or out of town
to have this procedure done."

For more information about micro fat injection + TCA peeling, please
contact us. Upon request, Ms. Duygu can send you informed consent
forms online, explaining the medical risks and complications of both
procedures.


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