Thank you for your question. Injecting anything into the upper eyelid is very dangerous in my opinion. A blind needle injection risks damaged to the Levator muscle which controls movement of the upper eyelid.
If that is needed in the upper eyelid than it should be done through an open incision so that placement of the fat graft can be properly and accurately done without damage to the eyelid levator mechanism.
When you say "eyelid" I assume that you have a deep hollow area above the eye, called the superior sulcus. This hollowing may worsen with age, so that your eye area looks bony. The fat is placed up in this area fairly close to the bone. This is not an easy procedure, so you want to make sure you go to either an oculoplastic surgeon or facial plastic surgeon who has a lot of experience with fat grafting.
in general your doctor is saying is true, you put it where it is needed. However, there are some tissue planes or spaces that you want to avoid. He don't want the fat directly under the skin or even directly underneath the orbicularis muscle of the upper eyelid. In general the fat needs to be behind or deep to the septum and often against the roof of the orbital rim or the orbit itself.
My disclaimer is I have never seen you and I don't know your anatomy but in general these are the areas I placed fat in the upper eyelids. Fat transfer to the upper eyelids in particular should be performed by very experienced surgeons who are comfortable with the idea of dealing with any complications that may arise such as lumpiness, asymmetry, or even the worst possible outcome which technically is blindness.
I would stick to oculoplastic surgeons or facial plastic surgeons who are experienced in eyelid and orbital surgery
Best of luck
Chase Lay, MD
As our face ages we often start to lose volume in our eye area first causing hollowing in the upper and lower part of our eyes. There is a special technique that facial plastic surgeons use to inject fat around the eye area since we are very careful to ensure that the area is smooth. It is always best to schedule a consultation with a facial plastic surgeon and be sure to bring your youthful pictures with you to the appointment so that you face can be evaluated for volume loss. By comparing your pictures your physician can show you where your volume loss is and where you will be injected. Wish you the best with your next consultation!
There are indeed specific techniques and indications for fat grafting in the upper lid. Just as in other areas of the face and lower lid, fat loss and hollowing is the hallmark of facial aging. Fat grafting into the upper lid requires experience and specific training. Look for board certified specialists.