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Fat transfer or lower blepharoplasty - which procedure would address my hollow under eye circles and wrinkles? (photos)

Gsalazar7Nov 8, 2024
I need help with my hollow eyes dark circles and under eye wrinkles. My cheek area is also pretty flat. I’ve done under eye and cheek fillers once but my metabolism burns it off fast. Should I try a fat transfer? Do I need a lower bleph? I have prominent eyes naturally. What do you recommend? Make me pretty!

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Dr. John Michael Thomassen, MD
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Answered on Nov 25, 2024
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Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Nov 11, 2024
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John Michael Thomassen, MD

Fat grafting can be very natural and safe in the lower lid. 2-4 cc can be grafted safely to each eyelid. However, like with PRP it may require a redo at 1 year if volume does not last.

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Darryl J. Blinski, MD

Based on your posted photo these are areas of tissue loss or overactive muscle. Therefore, a combination of micro Botox with nano rafting is recommended. Fee is $8000-$10,000. Best of virtual cons

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Darryl J. Blinski, MD

Based on your nicely posted photos, I would recommend the Endo treatment to help reduce the fat in the lower face with a full open face neck lift fee $20,000-$30,000. Best of virtual consult with.

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Lawrence Kass, MD

I think fat transfer is a wonderful procedure. I do NOT think fat Transfer is a wonderful treatment for you and for your problem and I would discourage you from doing this. I think there's a pretty good chance that that could make your problem look worse which would be a shame. You have...

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Dallas Buchanan, MD

Thank you for your question. It might be helpful to provide some photos or a description of what exactly is going on. While fat transfer to the forehead is technically possible, it may not be the best treatment option. Generally speaking, there is not a lot of natural fat in the forehead, so...

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Carmina Cardenas, MD

Botox act only on the muscle activity and has zero impact on the deeper tissues, so it totally safe to have Botox done and later have the fat grafting. It will be important Not to have Botox effect if you are having eyebrow repositioning. Be encouraged. Dr. Cardenas

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