Under eye filler? Blepharo? Fat grafting?

Question

Hello, I have these Dark circles (or hollowness?) are making my Life suite difficulté. I wanted to know which procedure would help me the most. You can add to that the droopy and sad look

Nelson Lee Novick, MD · Answer

The expert use of an HA filler can work well for elevating and smoothing under-eye hollows and creating a smooth transition between the upper cheeks and the under-eyes. If still necessary, for additional skin lightening, a series of in-office superficial peels can be performed. 
Be very cautious when considering fat grafting. It's an expensive two-step, minimally invasive process whereby the fat is removed from donor site, such as the belly, hips or buttocks, and then processed and injected into the recipient site. Since large bore cannulas are needed for both processes, there is typically a prolonged post-treatment downtime. What's more, once separated from its original blood supply, much of the transplanted fat does not survive. And finally, keep in mind that the fat that does survive retains the characteristics of the area from which it was taken. This means, for example, if the fat was taken from belly when in time you develop a midriff bulge from age, the fat transplanted under the eyes can do so, as well. Bottom line: be cautious when considering fat grafting. 
If additional lightening is required under the eyes, consider a series of in-office superficial peels coupled with the at-home use of prescription skin lightening topicals. You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

Eric M. Joseph, MD · Answer

The reason for this is that the under eyes skin is the thinnest in the body, so there can be downtime associated with procedures, and overcorrection can lead to a puffy under eye appearance. Wishing you well moving forward. Sincerely, Dr Joseph

Piotr Rot, MD · Answer

In your case, lipotransfer may be a good solution. Lightly filling the eye area with your own fat will make dark circles less visible. At the same time, it will prevent swelling and the Tyndal effect, which are common complications after the use of fillers in this area.

Under eye filler? Blepharo? Fat grafting?

Answers (3)

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