27 year old seeking advice: letting go or considering fat transfer for my under-eye area (Photo)

Question

I’m 27 and have struggled with my under-eye area for years. After fillers migrated to my tear trough, I had them dissolved, but the process caused an allergic reaction and leading to volume loss. I’ve recently had lower skin bleph, and CO2 laser treatment, but my midface still sags, and I always hide behind glasses and hats. I’m torn between letting go of the issue or trying fat transfer as a final solution. I need advice on whether to move on or consider further treatment.

Lawrence Kass, MD · Answer

I think fat transfer is a wonderful procedure. I do NOT think fat Transfer is a wonderful treatment for you and for your problem and I would discourage you from doing this.  I think there's a pretty good chance that that could make your problem look worse which would be a shame.

You have festoons (or malar mounds or malar bags) and there are no easy or guaranteed treatments for this condition. In select cases, surgery can prove helpful. Truly, you should only consult with oculo-facial plastic surgeons who can show you pictures of patients that they have successfully treated.  Good luck!

Zoran Potparic, MD · Answer

It is very likely that a combination of conservative lower blepharoplasty without skin excision and periorbital fat grafting will create desired improvement. However, you should seek a help of a board certified plastic surgeon with extensive experience in this area. Good luck.

27 year old seeking advice: letting go or considering fat transfer for my under-eye area (Photo)

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27 year old seeking advice: letting go or considering fat transfer for my under-eye area (Photo)

Answers (2)

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