Fat vs skin grafting for hollow eyes after Blepharoplasty?

Hello, I have upper eyelid hollowness from an upper blepharoplasty in 2006. I also have scarring in the left upper inner corner and some shortage of skin in this areas.

One doctor has recommended Fat grafting to upper eyelids while one has recommended a small skin graft to the upper inner corner. Should I do both, and if so, which one should I do first?

Fat vs skin grafting for hollow eyes after Blepharoplasty?

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6 answers to “Fat vs skin grafting for hollow eyes...”

A: Fat versus skin grafting

By William Portuese, MD - Seattle Facial Plastic Surgeon

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.

A: Fat Transfer to Hollow Upper Eye Lids

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

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

A: You need a surgeon not a procedure.

By Kenneth D. Steinsapir, MD - Los Angeles Oculoplastic surgeon

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... more

A: Fat Grafting for Hollowness around the Eyes

By Frank P. Fechner, MD - Worcester Facial Plastic Surgeon

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... more

A: Seek Oculoplastic Consultation for Ptosis repair.

By Eric M. Joseph, MD - West Orange Facial Plastic Surgeon

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... more

A: Fat grafting

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

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... more