Fat Grafting for Hollow Eyes with Thin Skin? And How Much It Would Cost? (photo)

I agree with the other physicians that you have a significant tear trough deformity.  Fat grafting could help, but this procedure is essentially an injection of a permanent filler, your own fat.  You may want to try injection of a hyaluronic acid such as Juverderm or Restylane to see what improvement you achieve.  Although temporary, this would give you a good idea of what a fat injection could do for you.  Some surgeons believe that the injection of fat improves the skin texture and reduces darker pigmentation as well, but I am not entirely convinced this is true.

A lower lid blepharoplasty, with movement of the fat pockets that surround your eye into the tear trough region would work well.  In this kind of procedure, additional surgical maneuvers such as release of the orbicularis retaining ligmament, tightening of the lower eyelid and a chemical peel to lighten the color of the lower eyelid could also be performed.  Without examining you, I cannot tell which of these procedures will help you, but it is likely you have multiple factors that are causing your problem.  It is unlikely that fat grafting alone will give you the best outcome. 

To find your surgeon, I would seek out a board ceritifed plastic surgeon or a board certified opthalmologist that specialized in cosmetic eye surgery.

Thank you for your questions.

Honestly, your photos are a bit blurred so not ideal for making recommendations, however its seems to me that you have a combination fat prolapse with a tear trough deformity.

An in person consultation can help determine whether a lower blepharoplasty with fat repositioning may be enough for you, or whether fat grafting would also be needed to augment your tear trough and possibly cheek. You should recognize that the tear trough is a challenging location for fat grafting as poor technique can lead to lumpiness and poor contour.

Dr. Denise Garcia is a well trained oculoplastic surgeon in the Scottsdale region in Arizona.