Fat Transfer: Q&A

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Treatment for Sunken and Hollow Eyes?

I have a sunken eyes with a shortage of upper eyelid fat. It's genetic and that's what gives me a tired and elderly look. What is the best treatment for this? A fat grafting surgery? Or a fat injection? Pease help. I'm a 28 year old (female) and my problem isn't the extra upper eyelid fat as most people had but the opposite, a shortage of an upper eyelid fat.

30 Doctor Answers | Asked by shaha in saudi arabia
+8

Open fat grafting is the best correction for hollow eyes

Dear Shaha, I am sure many doctors will suggest fat injection or filler injection to correct your hollow eyes. I strongly urge you not to have injections done into your upper eyelid. There are many very delicate structures in the upper eyelid which can be injured by a needle used for injection, and injury to the levator muscle could give you a droopy eyelid. The safest and most effective method to plump a hollow upper eyelid, in my opinion, is an open composit fat graft. During this... more
+5

Fat on upper lids is not a great idea!

Although I have vast experience with fat transfer in the lower lids, I am not a fan of fat injections in the upper lids for your problems. The fat may make you lumpy and most importantly the excess weight can affect the muscle from working naturally. Although plastic surgeons love to provide answers for all problems, this may be a case of leaving well enough alone.
+4

Fat Grafting for the Upper Eyelid Filling Hollow Eyelids with Fat Grafting, Fat Transfer

Fat graft the upper lid? No. Add fat to the brow-upper lid junction? Absolutely. This is an excellent question, and I think the wide range of answers is in part an issue of terminology. The upper eyelid is a thin structure that normally does not contain any significant amount of subcutaneous fat. So fat grafting of the upper eyelid itself would not produce an aesthetically pleasing result, and would in fact be quite dangerous to attempt. The area between the... more

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+2

Fat Grafting

Shaha, Fat Grafting is likely the best option for you. The synthetic products are also a possibility, however, I feel you will get the most natural result with your own fat. Just make sure you go to someone with extensive experience with fat grafting. Good luck
+2

Fat grafting is excellent for sunken eyes

This is one of the areas that fat grafting really shines. Fat harvested from another part of your body and then reinjected along the upper orbital rim can have very dramatic results. It is usually permanent and has a very high satisfaction rate. If you're not sure, try some Restylane first, it's temporary and reversible.
+2

Sunken appearing lids

Thank you for the question. I will refer to the photo you provided. In general, fullness around the eyelids is youthful. Two minimally invasive ways to improve fullness around the eyes are fillers or fat injections. Fillers (non-permanent types) can be a safe way to "test the waters", so to speak, to see if the results are appropriate and appealing. If so, you can then consider having fat injected (which is more permanent). If you do not like the effect of the fillers, then with... more
+1

Fat grafting to the upper eyelids. how to treat hollow eyes

Morning Shaha, I think a good first step for you would be to simply try a temporary filler of the upper eyelid to treat this. You may want to jump ahead to more permanent solution but as a facial plastic surgeon who performs fat grafting to the upper and lower eyelids regularly with good success in plenty of confidence I still have to warn you just like I warn all of my patients there's always a possibility of some unevenness and lumpiness. The benefit to using filler the first time... more
+1

Fat transfer (graft) for upper eyelid hollows

Upper eyelid and brow hollowness give the appearance of older and tired. The hollowness can be genetic and/or age-related. Fat can be injected into the upper eyelid sulcus and brow area, to achieve a more youthful appearance.
+1

Treatment for Sunken and Hollow Eyes?

The treatment for sunken eyes can be performed with either fat or Restylane. When using the fat from the abdomen the fat is suctioned and then centrifuged. The liquid is poured off and the fat is placed in small injection syringes for insertion to the area of deficient soft tissue.
+1

Fat transfer for hollow eyes...

If someone is suffering with sunken and hollow eyes, then fat transfer is an excellent option. With this procedure, fat is harvested from the outer hip and thigh, processed and then transferred to the area around the eyes. The actual upper eyelid would not be injected, but instead the crease that makes up the eyelid brow junction. The result can be built up over multiple sessions to give a natural improvement. Fat works better than the other injectables that can give... more
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Comments (1)

With more inset eyes, the eyes can look hollow, especially when the cheek is prominent. Fat grafting has applications for providing more fullness around the eyes, but I agree with Dr. Laws, it is very difficult to graft fat into the upper eyelid. I would wonder what the periorbital area looks like because, when we look at eyes we are looking at the cheek area below and the eyebrows above.

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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.

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