Ask a doctor

What Are the Pros and Cons of Fat Transfer Under the Eyes?

I've had lower blepharoplasty which has left my eyes looking a little hollow underneath. I'm thinking about getting a Facelift also. What are the pros and cons of getting a fat transfer for my under eyes to reduce the hollow look?

Doctor Answers 3

Have a question? Ask a doctor

Fat Transfer under the eyes restores tear trough hollow

Fat Transfer under the eyes is probably my favorite technique to make people look younger and more beautiful.

Aging causes a hollow under the eyelids. Cheek sagging also takes away the fullness of youth. Fat transfer, especially with the Viafill system makes this area look fanatstic.


New York Plastic Surgeon
5.0 out of 5 stars 23 reviews

Good plan for fat transfer

It would be convenient to address your lower eyelids at the time of your facelift. Hopefully, there is some fat available (perhaps under your chin or elsewhere) that could be harvested for transfer.

The pros are that this is an effective and permanent solution for your eyelids.

The cons are that your surgeon needs to feel comfortable doing it, a significant amount of fat may not "take", making it difficult to anticipate the final result. If the fat is placed too superficially, a lumpy appearance may result. In addition, if you are unhappy with the result, it may be difficult to correct.

Using injectable fillers is an alternative but are temporary.

Good Luck!

Jeffrey Horowitz, MD
Bel Air Plastic Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.