Filler vs fat graft over hollow upper eyelid?

Question

I did upper blepharoplasty 3 months ago, but the surgeon removed all my fat, make my eye look so sunken and I have a tired look now. I wish to increase the volume, considering fat graft or filler may i know which is better? will fat graft cause blindness? is the risk high?

Mehryar (Ray) Taban, MD, FACS · Answer

Although both fat and filler injection are safe in upper eyelids, filler is much more predictable than fat injection, especially in an that has been previously operated on with scar tissue and less blood supply.

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Barry Ginsburg, MD · Answer

Ideally fat would be better but there are not that many doctors with enough experience and expertise to do it well... A hyaluronic acid filler is easier and safer but requires periodic treatments.

Filler vs fat graft over hollow upper eyelid?

Answers (3)

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