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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?

Asked 39 months ago by nabila in dxb,U.A.E

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under eyes dark circles

+13

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

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Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

+15

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

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Michael Law, MD

Raleigh-Durham Plastic Surgeon

ASAPS ASPS

+10

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.

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

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

Ronald Finger, MD

Savannah Plastic Surgeon

ASAPS ASPS

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

Reza Nabavian, MD

Santa Monica Plastic Surgeon

ASPS

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

Talmage J. Raine, MD

Chicago Plastic Surgeon

ASAPS ASPS

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

Sirish Maddali, MD

Portland Plastic Surgeon

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

Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon

ASAPS ASPS

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.

Jason B. Diamond, MD

Beverly Hills Facial Plastic Surgeon

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

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Ricardo Rodriguez, MD

Baltimore Plastic Surgeon

ASPS

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... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

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

David Shafer, MD

New York Plastic Surgeon

ASPS

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.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

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!

Roger Amar, MD

Spain Plastic Surgeon

ASAPS

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.

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Harrison C. Putman III, MD

Peoria Facial Plastic Surgeon

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... more

Zain Kadri, MD

Los Angeles Facial Plastic Surgeon

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

Martin Jugenburg, MD

Toronto Plastic Surgeon

ASPS

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... more

Adam J. Cohen, MD

Chicago Oculoplastic Surgeon

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... more

Jaime Perez MD

Tampa Plastic Surgeon

ASPS

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... more

Christian G. Drehsen, MD

Tampa Plastic Surgeon

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. more

S. Sean Younai, MD

Beverly Hills Plastic Surgeon

ASPS

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... more

Daniel Shapiro, MD

Scottsdale Plastic Surgeon

ASAPS ASPS

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.

William Coleman III, MD

Metairie Dermatologic Surgeon

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... more

Stephen P. Smith, Jr., MD

Columbus Facial Plastic Surgeon

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.