Is it safe to have fat transfer under the eyes?

Question

I was wondering if fat is a good idea under the eyes. And how can lumps be avoided?

Leila Kasrai, MD, FRCSC · Answer

Fat transfer is frequently performed under the eyes and, when done safely and by an experienced plastic surgeon, it can achieve beautiful results. The microfat injection technique is preferred here to minimize the risk of lumpiness. However, you may also want to consider injectable fillers, such as Teosyal Redensity II.

Elizabeth Whitaker, MD, FACS · Answer

Thank you for a great question and for sharing your concerns. Fat transfer can be done to address hollowing under the eye.  Fat transfer can be technique dependent, and while lumps are possible they are uncommon in experienced hands.  I hope you find this helpful. Best wishes!Consult with a Board Certified Fellowship Trained Facial Plastic Surgery Specialist."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Jason Emer, MD · Answer

I do this everyday in my practice with great results. you need a formal consultation to determine if it is good for you and I suggest combining with PRP.  Best, Dr. Emer.

Elliot Heller, MD · Answer

YES IT IS VERY SAFE TO DO FAT UNDER THE EYES BUT IT HAS TO BE DONE VERY CAREFULLY SO THAT THERE ARE NO LUMPS AND IT IS NICE AND SMOOTH. YOU SHOULD SIT DOWN AND HAVE A CONSULTATION WITH THE PLASTIC SURGEON AND SEE WHAT THEY SAY.

Thomas Trevisani, MD · Answer

The lower eyelid skin is very thin and delicate.With that said- fat transfer has to be done very carefully as excess fat can leave you with lumps and irregularities. Also, keep in mind that the longevity of fat grafts is unpredictable, and a repeat procedure might be indicated.

Edward E. Dickerson, IV, MD · Answer

The wonderful thing about fat transfer is that you can virtually put it any where on the face. It is safe and effective in plumping facial tissue to give an individual a more youthful appearance. Another great thing about fat transfer is that it typically lasts much longer than dermal fillers. A face to face consultation with a board certified plastic surgeon is always recommended.

Randy Proffitt, MD · Answer

Fat transfer is more popular now than ever before for good reasons.  In trained and experienced hands, fat injected in and around the eyes can have excellent results.  Fat can have excellent long term results which you can't get with other injectables which are not as permanent.

Samer W. Cabbabe, MD · Answer

Thanks for your question.  There is some controversy in our community regarding this.  I think most surgeons probably don't actually put the fat into the lower eyelid, but rather place this in the cheek.  Fat under the skin will be visible and fat deeper in the lower eyelids will cause weakening of the deep fat and herniation, making the problem worse.  Best of luck

Barry L. Eppley, MD, DMD · Answer

Fat injections under the eyes are safe but must be done carefully to avoid irregularities. Nanofat and highly purified and strained fat are keys to good linear flow.

Tanuj Nakra, MD, FACS · Answer

The eyelid – cheek junction is a common place for volume loss to affect facial aesthetics. It is one of the most common areas to become a problem for people in their 30s and 40s. Austologous fat transfer can most certainly be performed to this region, and it is one of the most rewarding areas for volume augmentation. Care must be taken to avoid lumpiness which can be achieved by techniques that utilize very small amounts of fat transfers with each pass of the surgeons hand. Also, minimal processing of the fat and avoiding using an automated liposuction machine are other pearls for surgeons who are performing autologous fat transfer to this region.

Is it safe to have fat transfer under the eyes?

Answers (14)

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