Fat Transfer correction through Blepharoplasty?

Hi Dr. Wallach, Thanks for your answer. I started out needing (wanting) my under eyelid hollows fattened up. I have always had deep set hollow under eyes. The fat transfer did not help, but instead turned my hollows into protrusions. The surgeon said the best way to fix it now was to perform a bleph to take out the transfer fat and then try pulling the skin a bit tighter to soften the socket rim. I have searched all over the web to see if anyone has done a bleph to correct a fat transfer, and if so...has it worked (or should it work)? I know it's a little late now...but I am still hoping for a happy ending. Thanks again!

although very different,i had fat transfer to my hands,the immediate result was great,but in my experience fat transfer is very short lived, and its not viable to continually have top ups. i reckon,after 3 months it was completely gone.

Luls, How did your surgery turn out?

Hi luls, I am 25 years old and i have been suffering from both hollow eyes and dark circles. I went to see two plastic surgeons and both suggested fat injections. I had the procedure done 4 months ago. I'm also not very happy with the results. Too much fat was injected under the left eye and its not symmetrical. I also have protrusions or baggyness under my eyes. I am extremely conscious about it. I am currently seeking the advice of other PS to help me sort out my problem. I have been reading about a transconjuctival blepharoplasty to help sort out the problem. How did the your surgery turn out? Did it help you at all?

Rather than focus on the pros & cons of fat transfer, let's focus on how we can correct the uneveness. Direct fat excision from where it was placed usually yields the best result. I would recommend asking your doctor where exactly he or she placed the fat as there are many compartments of the lower eyelid where the fat could've been placed. Depending on the location, there are options to resolve it. If it is in the deeper orbital location, an incision through the conjunctiva can usually address it. If it is superficial to the orbital septum, it may require an external skin incision to reach the fat deposited.  Sometime steriod injections can help "melt" the fat injected although this may take repeated injections and have risks within themselves. I would worry about addressing the hollow tear trough area after the resolution of the fat lumpiness as there will likely be scar tissue that needs to be taken into consideration as well.  Hope this helps! Alex Liu, MD  

My under eye area was hollow, so I decided to have a cosmetic procedure using injections. I believe the doctor used Radiesse and Juvaderm under both my eyes. It took a few trips to the doctor's office, but eventually it turned out beautiful. A week after the last procedure was done I put one of those peel masks on my face and left it on overnight. The next morning I noticed some swelling or fat pockets had developed on both of my eyes. I went back to see my doctor to see if this could be fixed. I was hoping that the swelling was the medicine lumped up and that my doctor could use an injection to melt those swollen areas. My doctor stated that it looked like fatty tissue and their was nothing that could be done about it. I wanted those areas to go back to looking smooth and flat again. He did inject more Radiesse and Juvaderm to try to even those ares out. It made it worse. First of all other areas of my face has swollen from all the medicine injected under my eyes. Second of all those swollen areas that developed after I used the mask are more noticable because more medicine was put in those areas. I know the medicine will eventually leave my system, but will those swollen ares or fat pockets that developed be permanent. Is there something that I can do? Thank you for your input.