Hi!
With arcus marginalis release, we are able to redrape the fat in your eyelids to correct the hollowness. With fat grafting, we correct the hollows with fat from another part of your body. So they are different concepts, and they are not done together.
Both procedures work well, but they are both technically difficult, and the results are quite variable.
In NYC, we use arcus marginalis release or fat grafting when doing lower blepharoplasty, depending on the anatomy of the patient.
With fat grafting, the result you see at 4 months is the final result. At that point we do a touch up on 10% or 20% of our patients. But you do not need to keep repeating it. HOW fat grafting is done is really key.
For most patients, once the hollowness and bags are corrected, the "dark circles" are no longer an issue.
