Drooping After Fat Grafting on Hollow Upper Eyelid

I had fat grafting for hollow upper eyelid area in one eye, in July 2008. I know that some droopiness is expected following such procedure, but can it be more pronounced in one side of the eye (inner in my case), where more fat was grafted due to the nature of my problem? Should I give it more time before evaluating for final result? Thank you in advance.

Doctor Answers 6

Upper eyelid fat grafting

After six months, patients have usually reached their stable plateau and it is time to assess the final results.

You may wish to go back to your original surgeon and get their opinion on what is going on.

No doubt they will assess the upper eyelid opening muscle (levator), preoperative eyelid position, and assess for scar tissue formation, dynamic function of the upper eyelids, brow position, orbital set (how prominent the eyeball is), lower eyelid position, etc.

If an excess of fat has survived on one side, it may be possible to debulk this very carefully, avoiding injury to the levator muscle and its nerve supply.

In our practice, we prefer single nontraumatized fascial fat grafts for the purpose of reducing upper eyelid hollowness. these grafts are placed in a predictable place and could theoretically be modified fairly easily, although this has not been necessary.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 116 reviews

120 S Spalding Drive
Beverly Hills, CA 90212

Drooping upper eyelid after fat grafting

The upper eyelid may droop a little bit after fat grafting secondary to swelling. This may take several months to improve.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Fat Grafting to the upper eyelid

Fat Grafting to the upper eyelid can be a great way to rejuvenate the eye, especially with the hollowed out look some people get. However, injections should always be on or above the orbital rim, not on the eyelid. i am not sure of your issue, but swelling should resolve within 3-6 months after the procedure.

Robert M. Freund, MD
New York Plastic Surgeon
5.0 out of 5 stars 25 reviews

170 East End Avenue
New York, NY 10128

Fat grafting around the eyes

Fat transfer to the face in the area around the eyes and it is an extremely powerful and effective technique. Because this area is so sensitive to even small changes in volume, it is essential to work with a plastic surgeon is a great deal of experience in fat grafting techniques, blepharoplasty, and facelift procedures. Your plastic surgeon will be able to determine how much fat is necessary to obtain the result you're looking for. Whenever fat is subject to these areas, it is possible that a certain amount may, and create small little bumps. If this has happened to you, work with your plastic surgeon as they may recommend the injection of the medication into this area to help alleviate this unevenness.

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 67 reviews

848 Brickell Avenue
Miami, FL 33131

Fat graft survival is difficult to predict with accuracy

Predicting fat graft survival is similar to predicting how many seeds will sprout when planting. In order to get one plant, you typically place 2-3 seeds per site.

Same goes for fat grafting, we oftentimes "plant" 2-3 times the final desired amount anticipating that some will not survive.

Occasionally more survives than we would like and we need to remove this.

At this point, your fat has likely survived, perhaps in excess of the desired amount. Consider discussing this with your surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 58 reviews

880 W Central Rd
Arlington Heights, IL 60005

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.