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

Question

I am 34 y.o. woman with very thin skin under my eyes. My eyes look hollow and sunken, please look at my photos, I used photoshop to show what I would like to have, my question is what could be done and if it is possible to achieve photoshopped results and how much it would approximately cost? This is my first time considering plastic surgery, how can I find the right doctor in AZ? Thank you

Nima Shemirani, MD · Answer

Dear whatsmyname,

	
		    A fat transfer to the eyes would look great on you
	
		    It is a nice permanent and natural looking procedure
	
		    The cost can vary, and expect to have starting prices in the 3K range
	
		    When looking for the right doctor, ask your friends, visit websites, possibly even asking your primary care doctor


	Best regards,
	Nima Shemirani

Mehryar (Ray) Taban, MD, FACS · Answer

Fat and/or filler injection can help fill the upper cheek and lower eyelid hollows. Lower blepharoplasty with fat transposition (meaning the fat bags are moved inferior to fill the hollow dark circles) may be an option if enough fat present. See an oculoplastic surgeon for evaluation.

Shim Ching, MD · Answer

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.

A.J. Amadi, MD · Answer

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.

Kenneth Hughes, MD · Answer

Facial fat grafting procedures have become very popular in the past few years, because, if done correctly, they can produce a subtle or dramatic result that is permanent.  I think your photoshopped image is not unreasonable, and I think you need to find a plastic surgeon with ELITE credentials to address your needs.

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

Answers (9)

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Answer: Fat grafting vs blepharoplasty

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

Answers (9)

Answer: Fat grafting vs blepharoplasty

Answer: Fat grafting vs blepharoplasty

Answer: Fat Grafting to Tear Trough

Answer: Fat Grafting to Tear Trough

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.