Fat Vs Skin Grafting for Hollow Eyes After Blepharoplasty?

Dear Cissy Without a doubt, you had too much fat and skin removed from the upper eyelids. You need a personal consultation with an eye plastic surgeon who fixes overdone eyelid surgery. You might benefit from fat grafted into the subbrow area. This is not at all the same thing as giving back your upper eyelid fold. However, it does increase the fullness of the subbrow area softening the harsh appearance. Fat pearl grafting was our best idea 20 years ago. Some surgeons picked up... more

Hi Cissy, Fat grafting would be the best solution for your problem.  As Dr. Steinsapir advises, the treatment is not a commodity, but a procedure that requires aesthetic sense, experience, and skill. Choose your treating physician carefully. Be well. Dr. P

I would recommend micro fat grafting for the upper eyelid hollowness. If done with expertise I would expect a good softening of your eyelid appearance. Although many patients are satisfied after one session of fat grafting, I always prepare our patients for two treatments in case one wants to see more volume in the respective region.

Dear Cissy, I see your problem with hollow upper-lids. I've personally corrected this with injectable fillers with overall good (not great) results. I could be wrong, but check with a board certified ophthalmologist or oculoplastic surgeon to see if you have ptosis (pronounced: "tosis"). Ptosis is a common condition where your eyelids hang too low. This can cause you to see too much of your upper lid skin (instead of just a crease) when your eyes are open. In the right hands,... more

I agree that you do have significant hollowing. The best correction is fat grafting. A small amount of fat is taken from the flanks and then injected under the obicularis muscle of the upper lid. You have nice fullness of the lateral upper lid. There is no fat pocket here. The lacrimal gland is where the fat pocket would be. This is why the lateral lids look good. He didn't remove fat from there. In addition there is the brow fat pad which is a subcutaneous area of fat in the upper... more

A skin graft should not be performed unless there is the closure issue with the eyelid. Fat grafting and the skin graft can be performed together at the same time if needed.