What Kind of Aesthetic Problems Can Occour Long Term After Fat Grafting?

I'm considering a fat transfer under my eyes but before I undergo any surgery, I would like to consider the possible dangers of this procedure. So what are the long term side effects of fat grafting (what kind of aesthetic problems can occour and why)? How much change in my bodyweight will be visible under my eyes? Thank you, Pedro

Doctor Answers 5

What Kind of Aesthetic Problems Can Occour Long Term After Fat Grafting?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Don't, would be my advice.  Fat transfer has the issues of clumping and dissolving unevenly especially in the thin lower eyelid skin.  Your body weight however would be unaffected.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Problems with fat grafting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Fat Grafting is a surgical procedure. When expertly performed, the results are beautiful, natural looking and restore a youthful look like no other procedure. Careful consideration and research must be conducted to find the ideal surgeon to perform fat grafting. Like any surgical procedure, the results will vary significantly depending on the surgeon performing the procedure. 

Before and after photos are just one of many things to consider when selecting a surgeon, but they are an important step. Photos provide evidence of the proficiency of a plastic surgeon for any procedure. They can also help you determine whether or not you and a surgeon share an aesthetic ideal. 
e area of fat grafting was "over-done" and the fat looks lumpy and irregular

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Save yourself and avoid having fat placed in the lower eyelid.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Fat in the lower face and cheek, even the forehead is brilliant.  However, the lower eyelids lack enough tissue coverage to adequately hide the grafted fat.  For this reason fat can form visible lumps and bumps in the skin contour.  It is very difficult to address these without performing more surgery.  The safest course is to avoid this treatment for your lower eyelids.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Problems after Fat Graft below Eyelids

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While the long-term results of fat grafts tend to be good in the face and body, the eyelid area is not as forgiving and it should be done with caution. If the fat becomes lumpy, hard, firm or visible, it is very difficult (if not impossible) to fix. Make sure your surgeon is familiar with this technique and can tell you what to expect.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

Fat Transfer under the eyes

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It depends on what you mean by under the eyes. If you are referring to the lower eyelid itself I would advise against that. The lower eyelid skin is very thin and it would be easy to see contour irregularities and lumps. If you are referring to the cheek region below the eyelid fat transfer can have a magnificent effect if done properly. Placing fat along the malar eminence and building it out over the zygoma (cheek bone beside the eye) and carrying it down to the nasolabial fold can have a very natural, rejuvinating effect. Fat transfer in the face does not cause a change in body weight.

Todd C. Miller, MD
Newport Beach Facial Plastic Surgeon

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.