Fat Repositioning Vs Fat Transfer for Under Eyes?

Transconjunctival blepharoplasty and fat repositioning is the best procedure for fat bags and tear troughs. Skin looseness can be treated with chemical peel or laser.

  Either is acceptable if done correctly.   I think that you will find that this is a function of training and preference and not quality of result.  Kenneth Hughes, MD Los Angeles, CA

Its hard to answer the question without having your photo to evaluate. If you have good cheek/malar volume, a transconj bleph with fat repositioning might give you a great result. However, if you have a hollow malar region, the fat grafting would give you additional volume needed in the cheek/tear trough region.

Each patient needs individualized assessment. I use one technique over the other depending on the patient.

The laser will obviously not address the volume issue, but may be appropriate for xantholasma [cholesterol deposit] depending on your skin tone.