What would be the best option for my under eye hollowness? Would nano fat grafting create lumps? (Photo)

One of the unpredictable outcomes of fat grafting, in particular in periorbital area and eyelids, is formation of lumps on least desired site. These are a combination of fat tissue, scar, sometimes a small cyst. One can attempt removal with fine cannula first; if unsuccessful, a lump needs to be...

Thank you for your photos and question. Based on your concerns with hollowing and darkness under the eyes, facial fat transfer can be an excellent rejuvenation option. This procedure uses your own natural fat, typically harvested from an area such as the thighs, which is then carefully purified...

We have performed fat transfer to the face for 30 years; the periorbital area is one of the most frequently treated areas. Our average volume is between 20 and 30 ml total, with around 30% of the injected fat surviving. When other areas of the face are injected as well, that amount may be...

It is always better to try to dissolve filler before injection of fat grafts. However, you may like to wait 6-8 months for filler to resorb spontaneously; very frequently filler encapsulates and stays in the place for number of months. Best is to discuss this with your surgeon. Good luck.

It is very likely, based on these photos, that a fat transfer would be a good option for your problem. In person or teleconference consultation with a PS familiar with this procedure is recommended. Good luck.

It is very likely that you have droopy eyelids, ptosis, based on these photos. This can be confirmed only on the basis of in person or teleconference evaluation. Regarding tear trough and negative canthal vector, fat grafting and canthopexy should be considered. Good luck.