Fat Transfer for Tear Troughs and Nasolabial Folds? (photo)

Hi my name is Lance and i am 27 yrs old and over the past year i have noticed deepening Nasolabial folds and tear troughs with dark circles around my eyes, I have heard about fat transfer and i am considering it, But i was also thinking about trying out a filler like Restylane temporarily to get a trial look and then make a decision on fat transfer, But i am no expert what do you guys think?. I have uploaded two pictures of myself both with different angles and different lighting, Thanx

Doctor Answers 5

Fat graft to tear troughs

Hi Lance:

A couple of questions for you:  What do you weigh? Have you optimised your health and fitness?  Do you sleep well? Do you eat healthily?

Unfortunately, at your age you're just kidding yourself if you're thinking of using facial surgery or injecting techniques to improve your appearance without taking care of these things first. It just won't work.

I strongly recommend to take care of all the general health aspects of your body, weight and face, and take a year to work on it. I doubt you'll need anything done at all other than this.

Male faces are different than female, as well.  Often in men a little tear trough or NL fold may enhance the appearance, whereas in women it usually will not.

Do the work, get fit and lean, and reassess.  All the very best.

Melbourne Plastic Surgeon
5.0 out of 5 stars 91 reviews

650 Bridge Road
Richmond, VIC 3121

Fillers or fat grafting

I think your plan is an excellent one.

Fat transfer to the tear troughs is certainly possible, but technique is extremely important. There should be extreme caution not to over do it in this region as the fat removal can be troublesome without an actual incision.

Start with a filler. At your age, you might see that you can go another 10 years or so without switching over to surgery.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 28 reviews

1110 112th Ave NE
Bellevue, WA 98004

Fat or filler?

I think it's a great idea to try out a filler in this area before committing to fat transfer. Fat transfer to these nasojugal grooves is a more difficult procedure and can lead to lumpiness more readily than fillers like Restylane.

Kenneth Bermudez, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 11 reviews

525 Spruce Street
San Francisco, CA 94118

Fat Grafting to Tear Troughs and Nasolabial Grooves

I encourage patients who have doubts about the results of tissue augmentation to do exactly what you propose. Remember that the Resylane will last at least 6-12 months. Select an experienced injector whose results you've seen. Unfortunately I  frequently hear that injections are easy; they are, but it is technically challenging to get a good result.  

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

416 N Bedford Dr
Beverly Hills, CA 90210

Injectable Filler Trial before Fat Grafting

It is always a good idea to do a trial of injectable fillers in these facial areas before fat grafting. See if you like the effect before proceeding with a more formal fat grafting procedure.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.5 out of 5 stars 53 reviews

Indiana University Health North Hospital
Carmel, IN 46032

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.