Fat Transfer: Q&A
Ask a QuestionFat Transfer or Fillers for Under Eye Hollowness?
I have under eye hollowness post blepharoplasty with laser tightening. I'm 6 months out from my lower lid blepharoplasty and have the dreaded hollow under eyes. Can Fat grafting or fillers work? Which is better way to go? How do I find an MD with good technique that I can trust? What is the downtime? (I am a fair skinned northern European male who does not want to wear makeup Thank you!
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15 Doctor Answers |
Asked by
AUSTINMAN
in Austin, TX
+2
Fat Grafting Post Blepharoplasty for Under Eye Hollows
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...
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+2
Fillers work for under eye hollowness.
Various fillers do good for under eye hollowness but expect it to be done in 2-3 sessions a week or 2 apart. Juvederm or Restylane ($550 per syringe) usually needs 2-3 syringes. Diluted Radiesse ($650 per syringe) usually needs 1-2 syringes. Fat injections are very variable and can look great initially but get lumpy as they disappear in 6 months ($1500-2500 per session) and are done every 3-4 months.
+2
Treating under eye hollowness post blepharoplasty
Hollowness alone is best treated by injectable fillers, Juvederm or Restylane if the patient cannot or does not wish to have surgery. This is a fine solution, and if patients don't mind the temporary and changing nature of filler injections, it is an excellent solution. In fact after any type of surgery, no matter how comprehensive or successful, fillers help to iron out small irregularities and hollow regions.
Fat injections are indeed often lumpy and their survival is not always...
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Fat works great for under eyes
Fat injections work very well under the eyes as well as loss of fullness from the cheeks. This procedure is very technique-dependant but can produce natural and lasting results
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Fat transfer to lower eyelids
You can use either a filler or fat. However, I personally like the results with fat better since it looks and feels more natural. Fillers are useful as a first round of evaluation. If you are happy with the result, you cna then move to a more permenant result with the fat.
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Fat and fillers work well for under eye hollowness
Fat injections and fillers (Restylane, Juvederm) are both excellent ways to address the lower eyelid hollows. I prefer fat as it has a longer lasting result that is very natural. I use the fillers for patients who want to "try it out" before they commit to fat injections. Often, I combine fat injection with lower blepharoplasty for a more complete result. This eliminates the kind of result that you are complaining about. Good luck!
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Fat vs fillers for under eye hollows
Fat is a wonderful natural filler, especially in relatively young people and may take as a permenant graft. However, a word of caution, successful fat grafts can change with your weight. - so if you loose a lot of weight the correction may be lost, and if you gain weight, it may become lumpy. Fillers are a good way to find out how the correction will look with out having permenancy, and my choice in that area is Juvederm. It usually lasts 9 months to 1 year. Most dermatologists or...
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Hollow eyes
Treatment of post blepheroplasty hollowness can be treated by either modality fat transfer, or Hyaluronic acid filler.
What is important is the experience of the surgeon doing the injection, simillar to the blepheroplasty, the results are dependant on the experience of the surgeon.
Baltimore Plastic Surgeon
+1
Fat Transfer or Fillers: In Your Case Fillers
I tend to use fat transfer as a permanent panfacial treatment, i.e., over the entire face for several reasons.
1. Although in my hands, fat transfer is permanent and smooth (non-lumpy), the take under the eyes can be variable in the sense that it can look better but may not be all the way filled. I think by forcing the fill, you take a risk in having problems, which I don't do.
2. Therefore, when I do full face work, if one area is not as perfect as possible, then the face still looks...
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Fat grafting or fillers for under eye hollows
If your lower lid is hollow after surgery, fillers may improve your look. I prefer to use Restylane or Juvederm for this area, and place it underneath the muscle. This is an off-label use of the filler but many physicians do see great results. Lumpiness may occur, especially if the filler is placed above the muscle or close to the eyelid margin, and possibly a greater chance of lumps with fat than the hyaluronic acids such as Juvederm and Restylane.
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.
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