What can I do about these fat pads under my eyes?! (Photos)

Question

Camille Cash, MD · Answer

Thank you for your photos and questions.  I think you would find a nice improvement with fillers.  They work to disguise irregularities in the contour under the eye.  Another non surgical option is ALMI.  In this procedure your own tissue is used to add volume to hollow areas.  It also helps improve skin tone and texture.

Jonathan Kulbersh, MD · Answer

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. Cost will vary and can be discussed at your consultation.
I hope this helps!

Mehryar (Ray) Taban, MD, FACS · Answer

You have under eye orbital fat bags. The best long-term treatment is transconjunctival lower blepharoplasty with fat repositioning. It is important to maintain normal eye shape and function and not to get sunken hollow eyes after.

Jason Emer, MD · Answer

Fat pads need skin care, fillers, lasers and microneedling for improvement. I suggest a formal consult sometimes surgery is needed but can be done quite easily.  Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

That is the normal cushion of fat that is your malar fat pad.  If you actually found someone to remove that, you would destroy what makes your cheek look youthful.  The problem here is that you have a visible groove,  That is the mid cheek groove.  The best option here is hyaluronic acid filler.  The filler you need is Restylane which holds where it is placed.  Service will last about a year before needing to be topped off.  The service is fussy so you need a fussy injector to place this product.  Do not get talked into grafted fat for "permanent" filler.  These damage the glide function of the cheek when you smile.  You will be very unhappy with that damage and it is irreversible.

What can I do about these fat pads under my eyes?! (Photos)

Answers (9)

Answer: Improving Under Eye Fat Pads with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, surgery

Answer: Improving Under Eye Fat Pads with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, surgery

Answer: You need to learn to cherish those fat pads.

Answer: You need to learn to cherish those fat pads.

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What can I do about these fat pads under my eyes?! (Photos)

Answers (9)

Answer: Improving Under Eye Fat Pads with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, surgery

Answer: Improving Under Eye Fat Pads with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, surgery

Answer: You need to learn to cherish those fat pads.

Answer: You need to learn to cherish those fat pads.

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.