Hollow undereyes in someone already treated with fat grafting

Hi Inhave had fat grafting done to face several times, with the last time being most successful. The fat in my cheeks has remained, but my eyes are even more hollow in tear trough area and also nasilabial lines are completely back. I Had this done several yeara ago, but it only lasted in these two areas for approx a year. Is there a more permanent solution? I am 39 I also find now that cheek fat has remained, it almost makes undereye hollow look more prominent.

Doctor Answers 6

Fat transposition

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It is difficult to understand the deficiency you are describing without looking at a clinical photo. It may be possible to re-drape the eyelid fat pads to blend into the tear trough area and provide a smoother transition to the area.  Because the lower eyelid skin is thin, it is challenging to get a smooth-blended filler - either it reabsorbs quickly as you have noted or you can end up with lumps or visible filler.  You may consider a visit to your local oculoplastic surgeon or plastic surgeon who specializes in facial procedures to look at lower lid fat repositioning as an option.  

Washington DC Plastic Surgeon
5.0 out of 5 stars 20 reviews

Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva

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Fillers, fat, microneedling/PRP can all be used to improve this area you may be in need of fat repositioning which is a oculoplastic surgical procedure.  Permanent fillers here are a bad idea.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Filler for Eye hollows

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I think that filler such as Restylane would be a good option.  While it only lasts about a year in the under eye area, it would give you a good idea if more volume would help achieve the goals of how you want to look.  Good Luck.

Jessica Lattman, MD
New York Oculoplastic Surgeon
4.7 out of 5 stars 28 reviews

Filler injection okay after fat

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You can try filler injection. Although not permanent, it is very effective and predictable. See following video and link.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Filler may be an option

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Soft tissue fillers may be an option for you. It is hard to give a definite answer without seeing photographs however. Please repost including a photograph.

Cameron Nabavi, MD
Columbus Oculoplastic Surgeon

Please help us by posting photographs of yourself.

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Your concerns are reasonable.  However without photographs, it is very difficult to provide meaningful answers to your questions.  Please consider posting photographs.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 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.