Fat Transfer: Q&A
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Fat Transfer for Under Eye Hollows
I've heard about a procedure where my body fat can be transferred or injected on my under eye area for dark circles and hollowness. Is this safe, and will results be permanent?
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43 Doctor Answers |
Asked by
nabila
in dxb,U.A.E
+1
Fat transfer around the eye area is safe and effective
As an individual ages, the soft tissues of the cheek displace down the face, leaving the region below the lower eyelid with less volume, and creating a lengthened appearance to the lower eyelid.
Properly harvested abdominal and flank fat is processed and transferred to this mid facial region to augment the soft tissue below the lower eyelid and cheek bone region below the eyelid (tear trough and malar region).
The injection technique is very specialized, and the way the fat is...
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+16
We avoid fat injections to the under eye areas
The lower eyelid skin is very delicate. It is also very thin. Any irregularity shows through. One of our most common reason for performing revision lower eyelid surgery is palpable and visible lumpiness from prior fat injections. Many of the revisions are minor. Often, however, there are uncorrectable problems from gristly fat located in many planes of tissue. The reason for this is in the biology. Fat injections cells are harvested by liposuction. the fat cells are then usually spun...
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+15
Open Structural fat grafting is most effective and safest treatment
I have had great luck with open surgical fat grafting to correct dark circles under the eyes.
I avoid filler and fat injections. injecting around the eye is dangerous, in my opinion. There has been a reported case of blindness following filler injection around the eyes in England and the companies that sell fillers do not recommend that fillers be injected around the eyes.
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+14
Structural Fat Grafting Under Eyes
With each passing year I find myself performing less 'invasive' lower lid surgery (i.e a formal lower blepharoplasty) and more lower lid rejuvenation by means of structural fat grafting. The reality of aggressive lower lid surgery - which involves some combination of skin excision, fat pad reduction and/or fat pad transposition, orbicularis (muscle) redraping and excision, and canthal support (to hold up the lateral aspect of the lower lid while everything heals) - can easily...
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+6
Fat transfer for under eye hollows
The area under the eye is full of pitfalls for any kind of therapy.
First of all, there are two types of skin next to each other. There is eyelid skin which is thin and adherent to the muscle underneath, and there is cheek skin which is thicker and has fat underneath it.
Secondly, the eyelid skin has usually "slid" over the rim of the cheek bone, as the cheek fat and skin slide down with ageing. The boundary between the eyelid skin and cheek skin is called the "tear...
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+5
FAt Injection to lower eyelid must be performed delicately
Fat grafting is great tool to improve lower eyelid condition. Micro grafts of patients' own fat can be safely placed in the hollowed area below the eye and nearby structures. This injection will fill the hollowed areas and improves the skin condition. There is early evidence that mesenchymal stem cells naturally contained in the fat grafts stimulates regenerative properties of the skin. Caution must be used to place only small amounts of fat. Over-injection and misplaced fat will be hard...
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Santa Monica Plastic Surgeon
+4
Better for hollowness
Fat injections around the eyes have to be done very carefully. There have been reports of emboli causing blindness. FUrthermore, the fat injection will probably not improve the dark circles if it is due to pigment changes. It can help depressions but can also result in lumpiness.
+4
It is safe... may be permanent... but can have complications
Fat transfer is a very common procedure and done frequently for the face. If the fat is of good quality and concentration, and if it is skillfully injected, then a large portion of the fat will survive the transfer. That result can be relatively permanent. There are other non-permanent products, like Juvederm and Restylane, that can be used for the same indication. The difference is that swelling and redness is significantly decreased with Juvederm and Restylane. Fat transfer to the hollows...
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Portland Plastic Surgeon
+3
Fat transfer under the eyes
Fat transfer can give an excellent result. However, it must be done very carefully as excess fat grafts in that area can leave lumps that are very difficult to correct. Seek someone very experienced for this surgery. Also fat grafts can be unpredictable. Still, if properly done by someone skilled, it is an excellent technique, and it will reduce the shadow under the lower eyelid as will other fillers.
Fat grafts should always be injected with micro cannulas and not needles, especially...
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+3
Fat for lower lids
I stopped doing it in my practice because restylane was so darn effective, safe, easy , and removeable if needed. I don't waste my time with fat in the lower lids and don't recommend it to my pateints. also restylane in the lower lids lasts a long time (up tp 2 years). good luck
Boca Raton Plastic Surgeon
+2
Fat Transfer for Lower Eyelid Hollows - Is it safe?
I have found this technique to be very helpful in my practice which can give an excellent result whether done by itself (hollow only) or combined with a blepharoplasty skin pinch procedure (to remove redundant skin).This technique will reduce the shadowing under the lower eyelid as will other fillers. Micro cannulas and not needles should be used and fat injected in small increments deeply around the eyes. It is always better to under correct than over correct. This and other...
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+2
Fat Transfer Under the Eyes is Excellent but Unforgiving
Fat Transfer to the lower eyelid regions for volume replacement is an outstanding technique but should be performed by an experienced surgeon. As you describe, generally loss of volume beneath the eyes accompanies weight loss or descent of facial fat that commonly occurs with aging. This often exposes the edges of the boney orbital rim with the creation of shadows and variable darkness in the area. Fat can be transferred to this area, filling sunken orbits and softening...
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+2
Fat transfer under eyes needs to be subtle
Fat transfer under the eyes is effective and can be dramatic. However, the fat needs to be placed deep, next to the bone and can be lumpy if placed too shallow. Dark circles are often pigment in the skin or vascular congestion and not affected by change in contour with placement of fat. The eyes are the window to the soul and you generally get the best value for your money by creating a positive change there.
Best,
Tal Raine MD
+1
Fat transfer under the eyes
This is one of my favorite procedures to perform because it can offer such a natural and dramatic change in the appearance of someone's lower eyelid and cheek area. However, some of what of the other surgeons have mentioned is true there is a possibility that there can be lumpiness or on the evening healing. In the hands of an experienced surgeon this is not very frequent and if it does occur that often can be addressed with steroids or small surgical procedures. Aside from those concerns...
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+1
Fat Grafting for helping your eyes
Fat Grafting is used for facial reshaping, filling in deep facial lines, nasolabial folds and sunken eyes. The technique can overcome sagging and deflation due to fat loss over time. Natural body fat is replaced and creates the most realistically youthful look possible.
There is an added benefit to fat grafting that has become known only in recent years. The body fat used in the procedure is rich in stem cells, that when placed in contact with organs such as the skin can actually repair...
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+1
Fat Transfer for Under Eye Hollows
Fat transfer under the eyes have mixed results. Choose an experienced and expert surgeon who has had success with this procedure. Dermal fillers may be another viable alternative.
+1
Fat transfer can be an excellent choice!
I use fat grafting very commonly for these issues with great success. One must be careful to evaluate each patient individually to ensure that it is the right intervention. One must also be careful to choose a practitioner that is well trained and experienced in these techniques. The viability of transferred fat is very technique dependent and the aesthetic result depends on the aesthetic vision and understanding of your surgeon. For most patients that do not...
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+1
Yes, it is safe but that depends on a few things
1. any procedure has inherent risks but in the hands of an experienced provider who uses careful technique, risks can be very very minimal. i have been doing fat transfers now for about 7 years without major complication risks due to both experience and also proper technique. understanding that overfilling the eye and using bad technique are truly where the risks lie.
2. the next thing to understand is what is causing the dark circles. if it is allergies or...
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+1
Adipose stem cells are perfect for rejuvenation of Eye area!
The doctors who use the FAMI technique restore the bone, muscles and fat pads of the orbital region for permanents, natural non operated look! This organic procedure is difficult but gives the best outcome with no lumps and stay for up to 10 years in our longuest follow up!
+1
Fat transfer for lower eyelids
I find fat transfer provides the best and most natural results for hollowing of the under eye area, and routinely perform it under a local anesthesia. I also find adding a natural blood product called Selphyl seems to significantly improve results, and adds some skin rejuvenation. Darl circles can be treated with a chemical or laser peel at the same sitting.
+1
Lower lid hollow fat treatment
Fat injection to the lower lid hollow aka ' tear trough' is a delicate procedure which can go awry. Fat graft should harvested with a very small bore canula and should be deposited under the muscle or periostium in a thin uniform layer. Otherwise it may lump up forming pea shaped lumps under the eye . The better alternative is Adepose derived stemcells(ADSC) placed under medial half of orbital segment of orbicularis occuli. In two three months the hollw...
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Los Angeles Facial Plastic Surgeon
+1
Fat transfer to the perirbital area
Fat transfer to the periorbital area can be an effective treatment when performed in the hands of an experienced plastic surgeon. There are potential risks, including injury to the eye and vision (whenever you work around the eyes) therefore make sure your surgeon has performed this procedure previously and is able to show you his before and after pictures.
Sincerely,
Martin Jugenburg, MD
+1
Fat transfer to lower eyelids.
Fat transfer or release are excellent options for treatment of lower eyelid hollowness and dark circles.
Lower eyelid hollowness, sometimes referred to as a tear trough deficiency, and dark circles occurs because of lack of eyelid or cheek fullness (lack of fat) and/or from a depression of the eye socket bone.
When using fat to improve lower eyelid hollowness and dark circles, two options exist: fat transfer from another area of the...
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+1
Yes to both but choose carefully your surgeon
Age and genetics often result in progressive hollowing of the area under the eyes ,giving the face a tired or unhealthy look and often aggravating already dark circles.
fat micro grafting can produce remarkable results in improving both these problems in the long term.
fat grafting is totally different from injectables in regard to the technique and results.Injectables can produce stiff lower lids and unnatural puffiness,fat grafting expertly done can...
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+1
Fat transfer to lower eyelid hollows has good outcome
For the last 10 years or even longer, many los angeles plastic surgeons have been injecting fat in the lower eyelid in order to fill the hollows. As a los angeles plastic surgeon I have had a very positive experience with this with my patients. the results are very natural looking and the complications are low, and can be easily corrected. it is a delicate procedure which should be performed by plastic surgeons who are very exeperienced with lower blepharoplasty and facial cosmetic surgery.
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+1
Fat transfer can be a very gratifying solution for dark circles under the eyes caused by loss of tissue
Fat transfer can be a very gratifying solution for dark circles under the eyes caused by loss of tissue. Hollow lower lids often enhance dark circles, and filling them carefully with fat can improve their appearance.
Anyone interested in this should see a physician highly experience in fat transplanttation.
+1
Fat... an excellent solution for the eyelid-cheek junction
Fat transfer is an excellent autologous (eg.your own material) correction of the lower eyelid hollow. A long lower eyelid is an "aged" eyelid, and shortening the vertical length of the lid can effectively rejuvenate that structure. Volumetric restoration with fat "pushes" the junction back into a more youthful position. An advantage of the procedure is that we are rarely limited by the availability of material. It should be noted that a concurrent resurfacing effort...
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+1
Fat transfer under eyes can be an elegant solution
One of the early signs of aging is the hollow spot that develops under the eyes, resulting in a shadow and a tired look. "Off the shelf" fillers such as Restylane or Juvederm are often a good nonsurgical option, but fat grafting is also a minimally invasive procedure that can give permanent results. It is done under local anesthesia, with a microliposuction procedure to harvest some fat, typically under the chin.
+1
Fat is ideal for hollow eyes
Fat transfer to the area around your eyes is an ideal treatment for hollow areas under your eyes. The volume of fat that stays depends on the number & size of the fat cells that stay. I usually collect the fat using ultrasonic liposuction, with the area under your chin as the best donor area. in my experience, fat in this area has lasted over 10 years! Treatment is can be done under local anesthesia.
+1
Fat transfer to correct the tear trough region
Fat injections to the tear trough give excellent results. The 64 thousand dollar question is, "Is the fat permanent?" In general, fat does very well when there is not a lot of movement and tends to not last as long when there is movement. So in the lips and around the mouth fat goes away fast in general, but in the tear trough it tends to last a long time. These are not guarantees just rules of thumb to go by.
+1
Liposculpture or Fat Transfers great procedure for under eye circles
Under eye circles or hollows can be filled in with autologous fat harvested from the abdomen or thighs. It lasts if the fat is harvested and transferred in a non-traumatic way using specialized cannulas. The fat needs to be purified by separation methods so only fat and no blood or oil is transferred. if done properly the fat should be permanent. I do this regularly with great results. There is a small chance the fat will not take usually less than 10 percent,
+1
Fat Transfer for Eye Hollows...Look Rested
Hi Nabila,
The hollow areas under the lower eye lids may be treated with filler to blend the "bag" of the eye with the cheek, restoring a rested and healthy appearance. A patient's own fat is the most permanent type of "filler" that can be used in this area. Some patients decide to have a temporary filler (Restylane or Juviderm) placed before committing to permanent fat grafting.
Fat transfer near and around the eyes is the most advanced technique of fat grafting, and...
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+1
Good for depressions - may not work for circles
Fat transfer is an excellent option for depressions in the skin. Care must be taken not to inject the fat inside of the orbit so it must be stopped at the border of the bone of the cheek at the eyelid margin. Dark circles under the eye may be due to either shadows from bags under the eyes or pigment in the skin. Fat augmentation may not in the end help with these dark circles.
+1
Make sure you go to someone with experience.
Nabila,
Fat grafting is a very effective procedure for any area that needs volume replacement. However, the skin around the eye is very thin and obtaining good results takes considerable training and skill. My best advice is for you to go to someone with extensive experience in fat grafting and periorbital injections.
David Shafer, MD
Shafer Plastic Surgery
+1
Fat grafting to under eye hollows is effective
I started doing some fat transfer to the face years ago. The aging face is due to skin laxity and loss of volume. As you age, your face loses its fullness. Facelifts and eyelifts can tighten the skin, but they cannot replace the lost fat. I think fat grafting is perfect for this use.
As time has gone on, I do less lower lid eyelid surgery, and instead add volume to the lower lid/ cheek junction. In my office I inject a lot of fillers to the tear trough...
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+1
Fat injection for under your eyes...
Fat transfer is an excellent procedure for treating hollowing under the eyes. Fat transfer is usually performed in a surgical facility as an outpatient procedure. It is a very safe procedure which involves a little liposuction to remove some fat which is then processed and injected into different areas of the face. The excess fat is stored for additional injections during the year which build up a long lasting effect. The effect is especially long lasting around the...
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+1
Fat Injections
We have had tremendous results with Fat grafting in the periorbital area. For optimum results, consult with a well trained facial plastic surgeon or plastic surgeon who has experience in fat grafting.
+1
Fat Transfer to Hollow Eyes and Bags Under Eyes
A patient's own fat can be safely used to rejuvenate the face and correct hollow and/or baggy eyes. Small amounts of fat are taken via liposuction from one part of the body, usually the abdomen, and injected into the hollow of the eyes with very small cannulas to smooth out contour irregularities, fill hollows, and provide a more uniform color under the very thin lower eyelid skin. For baggy eyes, the fat on the lower lid is redistributed to the surrounding areas until a...
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+1
Fat grafting for hollow eyes - tear trough deformity
Fat grafting or fat repositioning is a powerful tool for a plastic surgeon to help correct hollowness of the lower lids also known as a tear trough deformity. Although it can have a minimal amount of impact in the dark pigment, the skin color is best treated topically with a skin care line lime elastiderm and obagi or laser resurfacing.
+1
Hollow eyes and dark circles
The hollowness in the lower lids at the TEAR TROUGH can be filled with fat injections. It is technique dependent and has to be done very carefully.
You can try filling with Restylane first. If you like it, then fat injection can be done. Micro fat droplets are injected.
If the dark circles is a true pigmentation, then a skin care and bleaching agent can improve on them. Depending on your color, I would add a chemical peel.
Sometimes, the dark circles are caused by shadows due to the...
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Baltimore Plastic Surgeon
+1
Fat transfer to lower eyelids
Fat transfer to the lower eyelids is a good treatment for hollow areas beneath the eyelids. As we age, some of fat in this area atrophies or shrinks, in addition to the fat descending. A fat transfer involves harvesting fat from one area (such as the abdomen) and injecting it through a small needle/syringe into another desirable area (ex. lower eyelid area). The fat is spun down in a centrifuge maching prior to injecting it to ensure most of the blood cells are separated from the pure fat...
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+1
Fat transfers are excellent for the area described.
In my hands fat injections to the area around the eyes is the best option for correction.
Fat has the same color and the same texture as the fat which it is replacing. Whether or not it is permanent depends on whether the fat cells are alive and concentrated when re-injected back into the patient. The current methods inject about 3.4 million cells per ML. A new technique called Viafill will be out in April that will allow for approximately 28 million cells per ml to be injected. We would...
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