Fat Transfer: Q&A
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Can I Use my Own Fat to Fill my Tear Troughs?
Will fat grafting work to fill my tear troughs? Also what to do about loose skin under the eye?
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21 Doctor Answers |
Asked by
Sheerry
in Brooklyn, NY
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Fat Transfer
You can use your own fat, but this often times is not the smoothest appearance. Thank you for your question and good luck with everything.
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Fat Grafting for Tear Trough Area
A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed...
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Can I use my own fat to fill in tear troughs?
Yes, you can have your own fat transplanted and injected into the tear troughs but the real question is should you? No matter what you hear or read fat transfer has not been proven as reliable and predictible as soft tissue fillers and as such are prone to uneven dissolution, lumps and bumps. Perhaps in the future fat can become as predictible as the soft tissue fillers but that day is not here.
IMHO, in the thin lower eyelid skin fat lumps and bumps are far more...
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Fillers Work Best for Tear Troughs
While autologous fat can certainly be used for filling the delicate tear trough area, I would be reluctant to use it. For one thing, retrieving the fat for use in this way is a two procedure method. Fat must be withdrawn under local anesthesia from an an area, such as the thigh, abdomen or buttocks (procedure #1), processed, and then reinjected into the tear troughs (procedure #2).
Since the true longevity of transplanted fat grafts is still a subject of some dispute, and since...
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Lower eyelid tear trough filling
Can you use your own fat to fill your tear troughs? Yes. Without more information or pictures however, I cannot tell you if that's what you need. I often prefer using a soft tissue filler such as Restylane or Juvederm as the results are more predictable (fat is one of the first "fillers" that surgeons tried- dating back to the turn of the previous century, and we still have not perfected it). Plus, if you don't like the results, the Restylane or Juvederm...
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Paoli Facial Plastic Surgeon
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Several options for Tear Trough correction
There will be a variety of opinions as to the best option for tear trough correction.
My personal favorites are hyaluronic acid fillers (such as Restylane or Juvederm) or fat transposition blepharoplasty.
With hyaluronic acid fillers, the main downside is that the result is not permanent. In fat transposition, fat from the orbit underneath the eyeball is draped over the bony rim of the orbit into the tear trough. The improvement tends to be permanent....
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Fat grafting the tear trough
Fat grafting is commonly used in the face to fill areas or depressions. I will say that using fat in the tear troughs can be quite difficult because the tissues are so thin. This area at least in my opinion may be better suited for the smaller particle HA's like restylane.
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We do less fat injection in tear trough now because Restylane works so well.
Hi.
Well done fat injections work great, but it is surgery. Restylane takes twenty minutes in the office with a little local anesthesia, and lasts at least two years.
Most people don't have a lot of loose skin in the lower lids. If you do, that can be corrected easily.
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A well-performed Injectable Filler treatment may be used to improve your tear trough.
In my practice, lower eyelid grooves (tear troughs) are managed with Injectable Fillers. My personal preference is to use Silikon-1000, an off-label filler for permanent results. You should make sure your physician is skilled in the delicate art of filling lower eyelid skin as this area is not forgiving.
Lower eyelid wrinkles are a difficult problem, and a pinch-blepharoplasty is considered as a last resort in select patients.
I hope this is helpful for you.
see video
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Fat grafting the tear trough
Opinion will vary, however we feel that fat grafting is the best for the lower lid tear trough. It must be placed with care deeply along the trough and above. The correction is permanent and will not require repeat injections until further aging of course. Often we will use fat alone for lid rejuvenation though the skin excess must be corrected by lid surgery.
Best of luck,
peterejohnsonmd
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Fat grafting is an excellent option for the tear trough
When performed properly, fat transfer to the tear trough region is an excellent option. About 30-40% lasts long term for several years, so there is a period of initial over correction. The procedure can be repeated if needed. While this is a surgical procedure, it can easily be done with a local anesthetic in the office. At your consultation, I would suggest looking at before and after photos of patients who have had this procedure. For loose skin, of course...
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Fat Transfer for Tear Trough Correction
Certainly, fat grafting is a very effective treatment option for the hollowness under the eyes, a.k.a. "tear troughs". Rarely, I use fat grafting for this area alone but rather as one important component in global facial fat grafting (we loose volume throughout the face as early as in our late 20s/ early 30s). Alternatively, in patients who are also bothered by under-eye bulging fat, lower blepharoplasty with repositioning of the bulging fat into the tear-trough hollows is an...
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Treatment of Tear Trough and loose lower eyelid skin
Fat grafting the tear trough works excellently. However, it must be done by someone with significant experience using a very small blunt needle. This alone may improve the area, but, if you have any significant lax skin, you will need a lower Blepharoplasty. When this is done properly, releasing the superficial tissues from the orbital rim and using the orbital fat to pad the area, both the extra skin and the tear trough are corrected.
Highlands Plastic Surgeon
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Calling fat grafting to the lower eyelid a "gold standard" is not correct.
Sure, as you can tell, many surgeons are anxious to graft fat into your lower eyelid. The reality is that this is a very unsuitable area for fat grafting. Grafted fat does best when it can be hidden in existing fat. It is good in the cheeks, chin, lower face, temple, but no in the lower eyelid. The lower eyelid is very thin. Any issue like a lump or bump will show as the swelling settles. This leaves a permanent irregularity visible in the lower eyelid....
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Fat grafting for tear trough with loose skin
The main question here is, how loose is the lower eyelid skin? This needs to be addressed first, and then consider enhancing the volume with a filler if needed, such as your own fat or hyaluronic acid. If you do choose surgery, the surgeon should be able to show you before and after results of someone with similar eyelids.
Good Luck!
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Fat grafting works well in the tear trough
The loss of fat fullness in the upper cheek creates long appearing lower eye lids and tear troughs. Restoring the fat fullness is the most obvious and natural way to correct the tear trough. Of course the procedure has to be done correctly and there is some unpredictability in the amount of fat take. The fat grafts will have some degree of absorption but you will generally get a nice improvement with one session.
The loose skin can be improved with chemical peels or...
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Fat graft tear trough
It is the standard procedure I use. Done with micro cannulas it can be as effective as the standard fillers with a much greater longevity. Down side. A little more bruising at first.
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Fat grafting is the gold standard, lower blepharoplasty for loose skin
Fat grafting is the gold standard. Better than Juvederm or Restylane because some of it lasts and is not absorbed (I still use Juvederm in the office because it is quick and easy). Loose skin requires a blepharoplasty and sometimes laser resurfacing. I frequently perform lower blepharoplasties in combination with fat injection. The blepharoplasty redrapes the muscle and removes extra skin. The fat grafting fills in the tear trough. There are examples on my...
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Tear trough fat grafting
I have used autologous fat injection very successfully for midface volume enhancement including the tear trough. This may lead to permenant improvement with good fat harvesting and transfer techniques. It is important to find a surgeon who is not only experienced with tear trough injection but also with autologous fat transfer techniques. To see how it may look, you may try a hyaluronic acid filler ( I like Juvederm) which can be dissolved if its not what you expected unlike fat which may be...
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Fat grafting to the tear troughs
Yes, fat grafting can definitely be done to treat the tear troughs. Fat grafting is very technique sensitiv and not all surgeons are comfortable (or experienced) in the technique.
I have had good success in treating the tear trough area without running into problems with lumps or overfill. The key point is placing the fat in proper volumes (not too much fat at a time) and in very small aliquots (I place the fat using multiple passes with only a small amount of fat placed per pass).
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Restylane is better than fat grafting IMO
I have sen several unhappy patients come to me after fat grafts to the lower lids with lumps bumps and overtake on the fat. I think most plastic surgeons prefer the Restylane. Loose skin may be redraped over the material.
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