Will fat grafting help wrinkles under eyes and crows feet? Will it improve crepey skin under eyes due to volume loss? (photo)

Question

I see volume loss all over face and wrinkles after infini rf. When I smile I see crepey skin on cheeks and under eyes. I also see crows feet and just so many wrinkles around my eyes when I smile. I see crepey skin at rest under eyes. infini rf has aged me tremendously. The volume loss changed the shape of my whole face. Will facial fat grafting help me. The first picture is before infini and second is after. If fat grafting will help who is a good doctor in Portland or Seattle

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

A.J. Amadi, MD · Answer

With fat grafting, you may get a subtle improvement lines around the lower eyes because increasing volume would potentially stretch the overlying skin a touch. However, this is not something I would promise or create an expectation. If it happens, its icing on the cake. In general, laser resurfacing or skin excision, along with maintenance with botox will give you a more predictable improvement in fine lines/wrinkles. Hope this helps.Best regards...

Sam Naficy, MD, FACS · Answer

Although it's difficult to say without examining you, these are the things you may need:1.  Fat injection to add volume and improve skin quality2.  Laser skin resurfacing to improve wrinkles and skin texture3.  Botox to improve crows feet caused by muscle contraction

Daniel Lensink, MD · Answer

Hello, and thank you for your question. A fat transfer procedure will help fill hollow areas and restore lost volume helping you achieve a more youthful look. Wrinkles can also be minimized; however, they will respond better to a combination of skin excision or a laser resurfacing treatment depending on their severity. A blepharoplasty can also excise loose, extra skin and give you a smoother, younger wrinkle-free appearance around your eyes. To see which combination of procedures will work best for your needs, schedule an in-person consultation consultation with a board-certified plastic surgeon, and get a full examination and a personalized recommendation from your doctor. I wish you good health!
- Daniel Lensink, MD

Nicholas A. Flugstad, MD · Answer

Fat transfer does a great job or restoring volume loss int he cheeks and under the eyes. It helps restore shape and contour. Fine wrinkles under your eyes are best treated with skin removal (lower blepharoplasty). I find that these two procedures work very well in combination.

Will fat grafting help wrinkles under eyes and crows feet? Will it improve crepey skin under eyes due to volume loss? (photo)

Answers (7)

Answer: Will fat grafting help wrinkles under eyes and crows feet?

Answer: Will fat grafting help wrinkles under eyes and crows feet?

Answer: Fat grafting and fine wrinkles

Answer: Fat grafting and fine wrinkles

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Everything you need to know about Facial Fat Transfer

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Will fat grafting help wrinkles under eyes and crows feet? Will it improve crepey skin under eyes due to volume loss? (photo)

Answers (7)

Answer: Will fat grafting help wrinkles under eyes and crows feet?

Answer: Will fat grafting help wrinkles under eyes and crows feet?

Answer: Fat grafting and fine wrinkles

Answer: Fat grafting and fine wrinkles

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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.