Fat Transfer to Upper Eyelids?

Upper eyelid hollowness is a dramatically underappreciated, yet incredibly important component of aging in the eyelids. With normal aging, our upper eyelid fat pads tend to retract and expose this upper lid hollowness, those with “deep set eyes“ are especially prone, and unfortunately old-school upper eyelid surgery that is overly subtractive can artificially create this hollowness early, actually looking worse than it did before surgery - the before and after photo in the link below resulted from overly subtractive upper eyelid surgery with another surgeon, and you can see the results after revolumization of the upper lids. Correcting this hollowness can happen with fat or filler injections into very specific planes of the upper eyelid, or transposing and rearranging the upper eyelid fat pads to provide fullness, as you see in this surgeon’s view video, borrowing the excess fat to move into the areas lacking fullness!
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself100 Physician

Honestly, I would not recommend this.  It's just not predictable enough for my taste.

Perhaps you could consider a filler injection with an HA.  They can last a long time in that area, and have the advantage of being reversible with hyaluronidase.

All the best,

Although this is normally done to correct the hollowness natural aging promotes in many women it can certainly be done in women who have normal upper eyelids. The question is how it will look once done and this question can not be answered without looking at a photo of your present state.

A fat grafting procedure can be done to increase the fullness of the upper eyelids. This is a very technique-dependent procedure and typically leads to fairly prolongeed post-treatment swelling compared with fat grafting elsewhere on the face. I would be sure to consult with a surgeon who has experience with fat grafting to this specific area. After an examination they can give you a better idea if they can achieve the look you're going for.

In recent years, there is a change in the way in which upper eyelid hollowness is approached.  Rather than removing too much fat in a blepharoplasty which can induce a hollowed-out appearance, there is discussion of fat repositioning and fat grafting. It might leave an uneveness and should be done by an experienced surgeon.

This would be considered a fat transfer and it could be accomplished using techniques such as fat grafting with injection or placement of lumbrical shaped grafts

The area between the brow and the upper eyelid crease is full of subcutaneous fat in most young people, and that fullness looks youthful.   I refer to this area as the "brow-upper lid junction," and I add fat to make it fuller in the majority of patients for who I perform eye-area rejuvenation surgery. 
 Take a look at the eyes of fashion models in advertisements: in most cases you actually see little to none of the upper lid.  What you see is a youthful soft tissue fullness that extends from the brow to the upper lid lashes. As we age, this fatty fullness atrophies and the brow-upper lid junction gradually becomes hollow.  The outline of the bony structures below the brow (the superior orbital rim) becomes visible, and one begins to look older, sometimes even ill, and in advanced stages even skeletal.  In some patients that I treat this appearance is inherited and they have a hollow look at their brow-upper lid junction at a young age.  Whether it is something that was always present, something that has developed with aging, or the result of an overly-aggressive upper blepharoplasty, fat grafting of the brow-upper lid junction can rejuvenate the eye area in a manner that is simply impossible by means of standard blepharoplasty techniques.  It does not look like ‘surgery’, and patients for whom I perform this procedure return to say that their friends and acquaintances think they look great, but they can’t quite put their finger on why. A word of caution: this is a delicate surgery that requires a fair amount of experience with fat grafting, and meticulous surgical technique.  In experienced hands a smooth, youthful and aesthetically ideal brow-upper lid contour can be achieved.  Make sure your surgeon can show you numerous photographic examples of brow-upper lid junction fat grafting. Michael Law MDAlpha Omega Alpha, Medical Honors SocietyAmerican Society of Aesthetic Plastic SurgeonsAmerican Society of Plastic SurgeonsInternational Society of Plastic Surgeons
Certified, American Board Plastic SurgeryPhi Beta Kappa

This procedure is technique sensitive and should be undertaken by one who does this regularly.  The upper eyelids can be unforgiving so experience is important.

Upper eyelid fat transfer has been written about and people are reporting good success however it is a very difficult procedure.  If you are considering this, do some research on line to find someone with significant experience.  There is potential for significant side effects and poor outcomes. 

fat transfer to lower lids require extreme expertise, otherwise the complications are very difficult to reverese.

If your eye lid are good whay do any thing