Filler or fat transfer to upper eyelid?

Question

My upper eyelid started to sank due to volume loss. (Double eyelid looking triple )I am not sure if I should do fat transfer or filler. Fat transfer sounds great since it's almost permanent. But I also can't predict how my eye gonna age with it. By looking at my mom who is early 50's. Her upper eye is droopy, and I assume having fat on that area cause more sag in future? On the other hand, filler seems great. But I have to keep injecting all my life and also it's not my own tissue.

Mehryar (Ray) Taban, MD, FACS · Answer

Fat transfer for upper eyelid hollowness is not as precise or predictable as filler injection. Filler injection, although not permanent, can last a long time. Expertise in upper eyelid filler injection is important.

Shaun Patel, MD · Answer

I would recommend starting with a filler like Restylane and if you are happy with your results then considering something more permanent like fat in the future. You may also be a good candidate for a skin tightening procedure like Thermage FLX which is FDA approved for treatment of the eyelid skin.

Barry Ginsburg, MD · Answer

this would be impossible to answer without a photograph but if filling the upper eyelid were the way to correct your problem I would first recommend a temporary filler reversible filler like Restylane and if you did get the results you wanted then you might consider a permanent filler like fatI think there are very few doctors who could do this well with fat  so I would be very careful in my selection

Violetta Mailyan, DO, MS · Answer

Hello, 
If you are able to post a picture it helps in answering the questions.  Most of the time droopy upper eyelid the best option is surgical correction.  Please see a plastic surgeon for a evaluation and recommendation.  Hope that helps, Dr Violetta Mailyan.

Theodore Staahl, MD - Account Suspended · Answer

Without seeing a picture it's tricky to advise, but I would likely recommend upper eyelid surgery for heaviness of the lid.  This procedure is relatively simple and patients tolerate it well.  Sometimes a browlift is also a nice option to lessen the weight of the upperlid skin and really open the eyes.  The incisions for a browlift are hidden in the hairbearing area of the scalp so there are no visible incisions.  
In order to get the best advise, I recommend scheduling a consultation appointment with a board certified facial plastic surgeon.  After having had an exam, your provider can better discuss treatment options.

Filler or fat transfer to upper eyelid?

Answers (5)

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