Fat Grafting Candidate With Extremely Thin Skin Under Eye?

Thank you for your question and for your photos. Based on your photos provided, you are an ideal candidate for facial fat grafting. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are. 

Filler injections in Thin Eyelid Skin can cause lumps and visible grey irregularities and should be avoided.

Fat grafting of an intact Fat Graft under direct vision during a Transconjunctival Blepharoplasty with Arcus Marginalis Release plumps the hollow eye and lessens the shadow and reduces the translucent appearance of the thin skin.

The graft is placed beneath the eyelid muscle and septum so irregularities are less likely than with filler injections which are difficult to place accurately.

See link below for more information.

Fat grafting can be great for you. The thin skin can sometimes make the results more difficult to achieve. But you have to either accept the thin hollow lower eyelid skin or go with the fat grafting. Fat grafting can be done with this anatomy and you can get great results. But I would go to someone with experience.