Fat transfer to upper eyelid after nonsurgical tightening treatment melted my fat? (Photos)

Question

I had a heat based nonsurgical "tightening" treatment done that melted my fat and now I'm left with not only worse laxity, but hollowed eyes. Can I fix this? What are complications to consider? I know a bleph will help but I think it's the volume loss that really bugs me.. do I just give up on volume replacement,

Derek Fletcher, MD · Answer

I routinely treat lost upper eyelid volume with micro fat grafting. This technique gives me very precise control over how much fat I inject and where. The upper eyelids respond very well. Your pre procedure upper lid volume is outstanding and would be used as my goal photo. However, I do think close examination of your upper lid skin is important. Restoring your lid volume with fat cannot correct significant extra skin. That is where the upper blepharoplasty surgery you mentioned comes into play.
Because 95% of the fat typically survives, I never over fill the face in general and the upper lids in particular. Correcting mild under filling is relatively easy (add more fat). Correcting over filling is very difficult. This operation typically takes about 1 hour and is done in our ambulatory surgery center. It can be done under sedation or general anesthesia. Recovery is 2-4 weeks depending on how much work is done and the individual's personal swelling and bruising.

Fat transfer to upper eyelid after nonsurgical tightening treatment melted my fat? (Photos)

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Fat transfer to upper eyelid after nonsurgical tightening treatment melted my fat? (Photos)

Answers (1)

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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.