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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)

Doctor Answers (7)

Under eye hollows

+2

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


Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Filling Eyelid Hollows

+1

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.

Michael Horn, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 24 reviews

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

+1

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. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

Hollowness after lower blepharoplasty

+1

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

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.5 out of 5 stars 22 reviews

More Filler or Fat Transfer?

+1

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.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 13 reviews

Lower eyelid surgery

+1

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

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

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.