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

Question

I am deciding between getting a U/L transconjunctival bleph or that procedure combined with fat transfer to the cheeks and and perhaps under eye if needed. I have bags where fat needs to be removed and transposed. In addition, I have a very gaunt face (flat cheeks) and temples. Will the swelling from adding fat to my cheeks distort my eyes or stitches? Is it best to do the eyes alone, add fat later?

John Bitner, MD · Answer

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.

Thomas A. Lamperti, MD · Answer

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).

Andrew Miller, MD · Answer

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.

Michele A. Shermak, MD · Answer

This is a very reasonable surgical combination. There is no contraindication for combining lower lid blepharoplasty, open or transconjunctival, with fat grafting. Fat grafting and lower lid blepharoplasty both carry risks with surgery, so meet with a Board certified plastic surgeon to discuss. Lower lid fat grafting may resorb or may harden.

Yael Halaas, MD · Answer

It is not only possible but also advisable for you to have the two procedures simultaneously if you are considering both a blepharoplasty and fat transfer surgery. This way, you will only have a single recovery period and will not have to take off from work, school, or other obligations to rest and heal. Also, some surgeons offer a discounted rate for patients who opt in for more than a single surgery. This is something to discuss in person with the surgeon who will be performing your cosmetic procedures.

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

Answers (10)

Answer: Fat transfer and blepharoplasty

Answer: Fat transfer and blepharoplasty

Answer: Simultaneous Blepharoplasty and Fat Transfer

Answer: Simultaneous Blepharoplasty and Fat Transfer

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.

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

Answers (10)

Answer: Fat transfer and blepharoplasty

Answer: Fat transfer and blepharoplasty

Answer: Simultaneous Blepharoplasty and Fat Transfer

Answer: Simultaneous Blepharoplasty and Fat Transfer

Browse related questions

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.