Upper/Lower Eye Surgery 6 Months After Right Under Eye Hollow Problem. More Filler or Fat Transfer? (photo)

I went back to my board certified PS with my right eye (underneath) concerns. It looks hollow and uneven. Before surgery he put in 3 radiesse syringes in cheeks. At my 6 mo check up he addressed my under eye concern with another syringe of filler (cheek area). I am still not happy with it. I got a 2nd opionion and that board certified PS said i need a fat trasfer. Can filler not fix this issue or will I need another surgery? Side note i have used latisse (4 days with redness in right eye)

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7 Doctor Answers | Asked by meko from florida in Florida

Doctor Answers (7)
Community Comments (1)

Under eye hollows

Something safe to use for under eye hollows is restylane injection as it is natural and reversible. See an oculoplastic specialist.

Filling Eyelid Hollows

Either filler or fat would help to fill the hollowness and make the rim less noticeable. Hylaform lasts about 9 months to a year and is easily injected in the office. Fat transfer would likely last longer but require the fat be removed from a donor site from you.

Upper/Lower Eye Surgery 6 Months After Right Under Eye Hollow Problem. More Filler or Fat Transfer? (photo)

The result is good and I see the jolliness. I might consider very purified PRP enhance fat grafts, only 2 to 3 cc's per eyelid.

Hollowness after lower blepharoplasty

If during your lower eyelid surgery, significant amount of fat was removed then you may end up with hollowness and visibility of infraorbital rim. Use of fillers can be easy temporary fix but probably not a long term solution. Fat grafting can help restore the lower eyelid contour but there will be some variability of graft survival. Make sure you are completely healed from original surgery before going through with revision. Best Wishes, Stewart Wang, MD FACS, Wang Plastic Surgery more

More Filler or Fat Transfer?

My first preference would be a fat transfer technique, but you may have had the fat removed at the first surgery. The second option would be fat grafting but that is a very tricky area for fat grafting so make sure you see someone who is highly experienced in the technique.

Under eye hollowing

From the pictures, there seems to be significant volume loss under your eyes, exposing the rim of the orbit, the right worse then the left. Sometimes asymmetry exists naturally and it just becomes more evident after surgery. Fillers can improve this volume loss, but in the area around the eye you would want a hyaluronic acid filler, such as Restylane or Juvederm. Hyaluronic acid fillers are only temporary and typically last around 6-9 months. Fat transfer is a great... more

Lower eyelid surgery

Dear meko, If you are getting fillers in the cheeks and also have under eye hollows, a fat transfer would be perfect for you Its effects are permanent, natural looking and you can have those hollows adressed With precise fat transfer, we can sculpt the lower eyelid and cheek areas so that it looks great In addition, it is easy to add fat elsewhere, like the smile lines and jaw lines for an overall rejuvenation if you are interested Best regards, Nima Shemirani more

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Comments (1)

holloweyesafterps 19 Mar 2013

I am in the same boat you are..sunken eyes after blepharoplasty! What an absurd idea...to remove fat with a blepharoplasty, just to replace the fat after your eyes are sunken & hollow....anything unethical about this??? Too bad the fat put back under your eye will leave you with lumps and irregularities under your eyes and Restalyne won't last...It's a sin this surgery is touted as "eye rejuvenation" ...nothing rejuvenating about hollow sunken rounded eyes. It only gets worse with time, sorry.

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