Hello, Thanks for your question. I'm sorry for what you are going through. While it would help to see the results of your surgery, post-blepharoplasty excess eye watering is known as epiphora. It can occur for several reasons, but after surgery the most common reason is that the lower lid is a bit retracted and the surface of the eye is more exposed to the drying effects of the air. Surface moisture sensors in the eye detect the drying and force the lacrimal gland to produce tears to correct the problem. If you live in a dry, windy place, the symptoms can be quite bad. It is important to keep your eye lubricated at night with a heavy gel and use preservative free eyedrops during the day to keep your eyes hydrated. This helps keep the lacrimal gland from getting overworked. If the conservative care with gels and drops doesn't work, you may need a lid support procedure to correct this issue. I would recommend a consultation with an ophthalmologist to get your eyes checked, as well, from a general functional standpoint. Eyes get dry with age, and surgery can often exacerbate the problem, even if there weren't any technical complications with the procedure. I would hold off on any further elective procedures, like chemical peels for now until you correct the epiphora. Good luck, Dr. Shah

Hello, Thanks for your question. Fat transfer to the hips can create long term results in most patients, but there are certain caveats. It is important to know that the fat that gets transferred during surgery may be lost by as much as 40%. The remaining cells will be what give you your results. Patients who are very active or dieting, will not get the results that they seek. The cells that get transplanted won't grow in number. They only get larger or smaller based on diet and exercise, just like the rest of the fat on your body. So if you decide to train for a marathon after surgery, you will just shrink the contents of the new transplanted cells, even though you have more fat cells on your hips compared to before surgery. We usually recommend 6 weeks without pressure on the area of fat transplantation or exercise to give the cells the best chance of surviving. We recommend the use of medium chain triglycerides in the diet especially before going to the gym to give the body an immediately useable source of calories to burn instead of burning the fat in the storage cells on the hips. We recommend minimal cardio, telling the patient to instead focus on high weight, low rep lifting exercise for the lower extremities. Your goal of 2cm on each side should be fairly easy to achieve depending on how much fat you can inject into the skin. Use of skin moisturizer for several weeks on the hip skin keeps it supple to stretch better. Your final aesthetic outcome will be a combination of fat removal from the love handles and fat addition to the hips. This will remove the boxy appearance for sure! Good luck, Dr. Shah