Why can't you do fat transfer on the upper eye but you can do filler?

For upper eyelid hollowness, we prefer fillers initially because if we can't achieve perfect symmetry, adding more filler is easier. With fat injections, achieving symmetry involves technical challenges like removing and reinjecting fat, and fat can sometimes increase in volume over time. Therefore, our primary choice is fillers, but fat can also be conservatively injected along with other facial areas.

Thank you for your query. It is common to do both fat and fillers for lower eyelids but less so for upper eyelids. However , I do fat transfer for upper eyelids occasionally, as do many others. The important thing is to refine the fat much more as a bulge in the upper eyelid can look very unsightly, and injection has to be done very carefully because of risks of embolism close to the eye, which is true for lower eyelids as well. So, a lot of experience is needed. Please find an experienced Board certified Plastic surgeon who can examine you and help you. All the best!

Placing a fat grafts, nano or micro, to correct contour of upper eyelid has been done for many years in our practice. You should search board certified plastic surgeons in your area for an answer. Good luck.