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?

43 Doctor Answers | Asked by nabila in dxb,U.A.E
+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... more
+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... more
+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... more
+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... more
+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... more
+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... more
+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
+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... more
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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.

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