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.  

Thank you for your question. The answer is yes. I always do Fat Grafting when I do a Lower Blepharoplasty. I also do it through a laser incision on the inside of the lower eyelid called the Transconjunctival Blepharopasty.

Note I am talking about Composite Fat Grafting where a whole piece of Fat is harvested from the pubic area and grafted into the depression or hollow under the eye.

I am not talking about Fat Injection.

It is best to do the Fat Grafting at the time of Blepharoplasty so that the Fat can be positioned properly for best effect.

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).