Should I get fat transfer, blepharoplasty, or fillers? Recommendations please. (photos)

Question

Due to a lifetime of sinus issues and sleep apnea I now have very prominent tear trough deformities. I believe this makes my eyes appear sunken, and makes me look tired. I would like to address this issue with a permanent solution if possible, as I would ideally love to fix the issue and move on with my life. What would you recommend?

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thanks for the question and images. I do agree you have relatively prominent tear troughs. Ultimately though you are volume deplete and need volumisation. If you have not tried any treatment yet I would encourage you to try fillers with an experienced injector. If you are happy with those results then carry on. If you would like a more permanent solution I use a combination of lower blepharoplasty, fat pad transposition and fat grafting in cases such as yours. Best of luck.RegardsDr Guy Watts

Ali Riza Öreroglu, MD · Answer

The hollowness, lack of volume, sunken appearance under the eyes can be improved by both fillers and fat grafting. Fillers are temporary but easier to administer. Fat grafting is more permanent, after being transferred, the fat tissue that survives is likely to stay there permanently. Maybe you would like to have a try with fillers first and see if volumizing the area gives you the results you want. Best to consult a board certified plastic surgeon with specialization in facial aeshetics in person.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Daniela Burchhardt, MD · Answer

Hi Taylor,
As we age, we loose volume and our fat pads and connective tissue descend lower. To address volume loss in the lower eyelid/midface, filler or fat transfer are both options. Filler is temporary - a hyaluronic acid filler is best for this area, which can last up to 1-2 years at most. The advantage of filler is that it can be done in the office, but it is temporary. Fat transfer is a more permanent solution, but tends to be done in the operating room with anesthesia and has some downtime associated with it. Blepharoplasty can be done with or without removal of skin to address loose skin, though based on your photos, you look too young to require any skin removal. You can discuss all these options and what is best suited for you during a consultation. I hope this helped shed some light on the different procedures. Best of luck to you!

Should I get fat transfer, blepharoplasty, or fillers? Recommendations please. (photos)

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Should I get fat transfer, blepharoplasty, or fillers? Recommendations please. (photos)

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Recommended reading

Everything you need to know about Facial Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.