15 Year Old - Fat Transfer for Dark Circles/Under Eye Hollows?

I'm 15 years old but can't wait anymore. I have dark circles that are sunken in and hallow, and I have lines and milia. No amount of sleep/makeup hides them. I have very deep hallow under my eyes, which I have noticed in my dad/aunt but they have no darkness. I've had them since I was very young and I really want to get rid of them. I've heard fat transfer can do it. I'm really interested in that.

Doctor Answers 8

Avoid Fat Injections for Hollow Eyes

Thank you for your email. First, you are too young to have a cosmetic procedure. Your facial structure is not fully developed and any invasive procedure could have a negative effect on future growth and development.

I avoid injections into and around the eyelids in most cases of dark circles and hollow eyes.

Loss of injected fat and lumps are common problems with injections and the eyelid skin is so thin that lumps are quite visible.

I am also concerned about injury to delicate eyelid structures by repeated injections, especially when they are done by inexperienced physicians with no training in eyelid surgery.

Hollowness and darkness of lower eyelids

you should see a boardcertified oculoplastic or plastic surgeon who has a great experience in correction of hollow lower eyelids. Fat injections may be very visible as unsightly lumps that could be hard to correct. You could have a treatment for a condition that you don't like, only to find out that you start seeing a mutitude of doctors who try to correct a poor result from a treatment. You may need your face to mature a few more years before a plastic surgeon is willing to operate. Occasionally, a filler such as Restylane might be tried, but nothing is risk-free.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Fat Transfer For Dark Circles Under Eyes?

Thank you for your question!  I suggest waiting until you are at least 18 years old for any cosmetic surgery.  You will have a very hard time finding a surgeon that will operate on you being so young.  Best of luck!
Dr Dhaval Patel Double Board Certified Plastic SurgeonChicago Hoffman EstatesOak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 93 reviews

I would do Restylane or a temporary filler as a better option for you

in short, you are too young to have fat transfer.  anyone in their teenage years risks gaining weight as she or he ages and that can prove problematic since the fat is truly a graft and is weight dependent.  because of your age i would go with temporary fillers like restylane.  i did a Restylane injection in a 15 year old with severe eye bags whom I saw a few years later and she still has almost 90% of her result holding.  I truly believe that in static areas like under the eyes, fillers like Restylane can have tremendous staying power and after a few rounds can actually last years, as I see in many of mine own staff.

Sam Lam, MD, FACS
Dallas Facial Plastic Surgeon
4.6 out of 5 stars 57 reviews

Dark Circle and Under Eye Hollow Treatment for Teenagers

Hi Lonelygurl,

Dark circles and lower eyelid bags or hollows are relatively common problems that all patients seek cosmetic improvement. Generally, options include eyelid plastic surgery and/or non-surgical treatments such as fat injections or hyaluronic acid fillers (Restylane or Juvederm).

However, as most other plastic surgeons have already stated, cosmetic surgery for the lower eyelid area should be avoided in teenagers primarily as the face continues to change rapidly in this time frame. Better options for teenagers include basic skin care and chemical peels to help improve the skin condition and reduce dark circles. Only after a comprehensive evaluation can a eyelid plastic surgeon help determine appropriate options for you. Best of luck.

Dr. Chaboki

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

Fat Transfer in the Lower Eyelids

Fat transfer is a very effective method to improve contour deformities in many areas.  The lower eyelid/cheek junction is an appropriate area for fat transfer.  Your age on the other hand is NOT appropriate for cosmetic surgery.

Dr. ES

Tear trough

I would recommend a finer and reversible filler for the under eyes hollows (tear troughs), namely Restylane.  The eyelid skin is very thin and the fat can show through and it is practically irreversible.

Dr Taban

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Fat Transfer for Under Eye Hollow in a Teenager

Fat injections is a powerful treatment option for tear trough hollows.

Nonetheless, I would recommend to hold off with fat grafting, primarily because of your age.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.6 out of 5 stars 48 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.