What can you do about hollows under eyes made more noticeable after fat grafting to cheeks? (photo)
Doctor Answers 4
Post fat transfer
For the cheeks, you could try Ulthera. We have found that it can help to flatten areas that are overcorrected from fat and other fillers. Worth a try.
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
Making a proper assessment of the lower eyelids
And the ideal youthful face to contour is snug along the lower eyelids with no bulging or front pads transitioning into nice full cheek volume.
Signs of aging usually include bulging of the fat that's in the lower eyelids followed by a hollowness just below this the lack of volume in the mid cheek.
There are three separate anatomic areas involved.
The lower eyelids which may or may not have protrusion of fat pads.
The tear trough deformity or hollowness at the lower eyelid cheek interface.
Lastly is midface or cheek volume.
in your case your tear trough deformity or hollowness at the interface junction may have been made worse by adding midface volume.
One area looks the way it does in relationship to the adjacent areas.
As one area where the volume deficit has volume added next to it it appears smaller.
You need to have an in person consultation by a plastic surgeon who has great expertise, excellent sense o aesthetic judgment and I has the techniques needed to correct any of these conditions.
One option may be to have a lower eyelid blepharoplasty with very careful augmentation to the tear trough.
A lower eyelid blepharoplasty by itself may also give a nice improvement giving a more balanced appearance.
Regardless this anatomic area is difficult not only to assess but also to treat.
The transition between l potential excessive volume immediately adjacent to a lack of volume makes the area challenging for even the most talented surgeons.
Mats Hagstrom M.D.
You might also like...
What can you do about hollows under eyes made more noticeable after fat grafting to cheeks?
If you had hollows to start with and then added fat to the cheek, it would make it much more noticeable. The hollowing under the eyes is noticeable because of the valley that develops below the lower eyelid and the cheek. If you raise up the cheek (as with fat grafting) then the valley appears deeper and the area more hollow. Since you only posted one photo smiling that isn't a sufficient view to comment. Frequently you can use fillers to help improve the hollowness. For the skin at the corners of the eyes there are sometimes some topical products or skin resurfacing or even neuromodulators that can help.
As far as options now, I would recommend an in person consultation with a facial plastic surgeon. This way you can be evaluated and the best course of action determined.
I hope this helps and good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.