Is it Okay to Combine Blepharoplasty with Cheek/Under Eye Fat Transfer?

It is perfectly acceptable to do upper and lower eyelid surgery, including transconjunctival approach to the lower eyelids.  You could also do fat transfer or grafting all at the same time.  I would graft to the upper and lower cheeks and temples.  However, I would not recommend doing fat transfer to the lower eyelids.  This is relatively risky all by itself, even worse to do an eyelid procedure then graft on top of it.  The swelling would make the final result very unpredictable.  

It is quite common to combine blepharoplasty with facial fat grafting. This is the preferable route for most patients as it saves on surgery costs and creates just one recovery period. In my practice I have not found fat transfer swelling to negatively affect the eyelid surgery results (or vice versa).

A blepharoplasty and fat transfer to the cheek and eye area can easily be combined.  Using fat grafting under the eyes in addition to upper and lower blepharoplasty gives the hollowed areas under the eye and cheeks additional volume and improves the skin condition.  Fat transfer is done by gradualy building up the areas with multiple injections thoughout the year to reach the desired youthful appearence.  There will be some swelling from the procedure but it does not interfere with the blepharoplasty sutures.  Consult a baord certified facial plastic or plastic surgeon to see if you would be a candiate for this procedure.