Will Fractional Laser Resurfacing Disrupt my Under Eye Fat Grafting?

The laser treatment is limited to the skin and dermis (tough layer beneath the skin). The transferred fat is placed deep to the dermis and most often deep to the underlying muscle. Thus the laser should not directly affect the transferred fat. The laser will cause swelling though which can be significant but this is temporary and unrelated to the prior fat transfer. I hope this is helpful.Stephen Weber MD, FACS

Fractrional lasers treat only the surface of the skin and fat grafting is done much more deeply, under the orbicularis muscle around the eye, just above the bone. They should not interfere with each other. Often they are both needed for an optimal result.

The laser treats fine lines and tightens the skin somewhat and the fat grafts fill in the hollow under the lower lid. The latter usually occurs with age and loss of volume, but some people have a deficiency in the infraorbital bone under the lower lid from birth.

The timing of the procedures is less important unless the laser is to be set on a high setting, and then I would suggest that you wait until most of the swelling from the grafting procedure has subsided, usually 4-6 weeks.

Resurfacing with fractional laser is a wonderful option for fine lines and 'papery' skin on the lower eyelids.

 

The two treatments are treating different problems and will not interfere with each other. The fat is placed much deeper, right over the bone, to fill in the hollow and the laser treats the skin very superficially, to improve fine lines and tighten. 

 

I routinely perform these procedures at the same time, so to answer your question, there is no set time that you have to wait, as long as you have not had any complications from the fat transfer, you can proceed with the laser resurfacing. 

 

Obviously you should have a physician with experience in this area as the laser settings vary depending on your skin type.