Is It Safe for Fat Transfer Under the Eye with Cheek Implants Already in Place?
Doctor Answers (7)
Fat transfer to the cheeks can work well if done carefully
Fat Transfer is safe but is it effective.
Fat transfer is safe but the question should be...is it effective. fat injected in the thin skin of the lower eyelid area is very likely to create lumps, bumps and contour irregularities. If you're looking to fill in the area, choose a stable, reliable soft tissue filler like Restylane or Juvederm. The Cheek Implants are placed adjacent to the cheek bone and are deep below the area where the fillers will be placed.
Fat injections with a cheek implant
The danger is:
1. increasing the risk of an infection if a biofilm is activated at the implant from the fat injection, or a direct innoculation of bacteria from the skin which then spreads to the implant. This seems to be of a low risk based on numbers of procedures done and reported complicaitons.
2. lumps or irregular surface if the filler or fat is injected above the muscle and underneath the thin eyelid skin
3. blindness is a very rare complication.
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No it is not safe!
It is not safe because you have already had a complication from your cheek implant surgery, which is the accentuation of the dark circles. Now you are going to "double down" with another procedures that is highly prone to problems. Loss of vision is very unlikely but contour irregularities is much more likely. A much better and safer option here is to have filler in the tear trough instead. Fillers like Restylane can be adjusted after the treatment if necessary. Please be careful out.
Free fat grafting
Safety and results are 2 separate issues. If done carefully it can be done safely. If the fat is injected into the wrong tissue plane it can cause blindness whether or not a cheek implant is present.
The results are technique dependent whether or not a cheek implant is present. If the implant is silicone the fat has to be injected outside the capsule of the implant and just under the muscle from which it will get its blood supply. Despite that the survival rate of the fat will likely be less than it would be with a porous polyethylene cheek implant.
This format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Fat transfer Naturalfill
It is safe to have fat placed in the area you have asked about, even if there is a cheek implant. The under eye area, or medically, the inferior orbital rim hollows are an area that does real well with fat transfer, provided the surgeon puts the fat in the correct 'plane' or area. This is the one area of the face where the ft must be put in the deeper levels and not just under the skin, where the fat is placed in other areas of the face. If the doc puts the fat under the skin you can be left with lumps/bumps/scarring, so make sure your doctor is adept at treating this area. Hope this helps.