Nanofat grafting for dark circles?

That’s a great question.  Fat grafting has been embraced by many plastic surgeons, including use in the lower lids.  As for my opinion, I remain unimpressed and very skeptical about the promises and hype and would encourage you to be skeptical as well, especially any improvements resulting from so called stem cell or growth factors. I have seen virtually nothing to convince me of its merits and certainly would not spend a large amount of money on it.

 Nanofat to the lower eyelids is an especially rejuvenative procedure because it provides both volume and growth factors to the thin skin surrounding it! To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon. Cameron Chesnut #realself500 Physician 

There are pros and cons to each treatment. Dark circles are also not all created equal. In general, filler is more predictable. If there is actual fat bags present, then lower blepharoplasty with fat repositioning is ideal. See following video and website link.

Yes, this can be a great treatment for under the eyes. I recommend combining with prp to enhance final results. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Thanks for the great question. Using either nanofat or fillers should help to improve the appearance of your under eye circle. The nanofat may have additional stem cells to also help improve the appearance of the skin at the same time. Make an appointment to see a surgeon in your area who performs there procedures for more information. Best of luck!~Dr. Sieber