How Long Does Fat Grafting to Upper Eyelids Last?

There are no adequate studies to support any definitive answers in this regard. This can vary tremendously. In my own personal experience this can last many years (more than 10).

Fat grafting to the brow, upper eyelid junction can be a subtle yet significant change. Others will likely not notice specifically what has changed, but most of my patients who have had fat grafting to the upper eyelids report people remarking that they look rested, refreshed, younger and more attractive. When performed expertly by a very well trained plastic surgeon using specialized instrumentation, fat grafting to the upper eyelids can provide a smooth natural looking and permanent result. Visit the before and after section on Realself and visit fat grafting galleries on the websites of experienced plastic surgeons for examples.

Patient selection is key for successful fat grafing to the eyelids. The process provides permanent improvement but there is some loss of the fat in the first few months post treatment. Consult with 3 board certified plastic surgeons who are expert and experienced in fat transfer. The cost of fat transfer like other cosmetic surgery varies considerably across the
country and even in the same area. South Florida tends to have lower fees then
more expensive areas such as New York or Los Angeles. We charge starting at $1000 for fat transfer to the face. Since you can get quality work
at lower costs, patients will travel from throughout the state, the country,
and internationally to have surgery in South Florida.

To ensure that you are receiving quality work with personalized care at the
most cost effective prices, consult with board certified plastic surgeons that
own their own nationally accredited facilities. The quality must be maintained
at the highest level to maintain accreditation. The surgeons also have
incentive to hire and train quality staff (to ensure that surgery is efficient
and enjoyable), to ensure comfortable and private facilities (to encourage
referral), and to eliminate waste (to ensure that these facilities can compete
effectively).

Fat transfer is generally thought to be permanent. Recent studies published in the January issue of Archives of Facial Plastic Surgery indicate that 50-60% of fat transferred to the face exists at 18 months. Therefore, it may take 1-2 treatments to get desired results.

40-60 % of grafted fat should survive transplantation to the upper eyelid-which is a "priveledged site" for fatr transplantation.
In my opinion, there is a significant difference between fat injection--referred to as fat transfer--through a needle, and composite fat grafting, in which a whole piece of fat is transplanted surgically under direct vision.
In my experience, (not a scientifically proven study), composite surgical grafting rarely requires a second procedure as is so common with fat injection.