What's the best donor site for orbital (eyelids) fat graft?

In order for fat grafting to be successful, there Hass to be sufficient post tissue to support the graft. This is why the procedure sometimes does not work well in the areas people needed the most. If your periocular areas are devoid of sufficient soft tissue and they are also devoid of sufficient host tissue for successful fat grafting. This does not mean you can’t have the procedure but this area is notorious for being difficult to get quality outcomes, without leaving firm alarms off at the crosses. It doesn’t matter where the fat is harvested from. What matters is how much soft tissue you had to support the graft and how much skill and experience your provider has doing the procedure.
I suggest having multiple in person consultations with local board-certified plastic surgeons in your community. Ask providers to show you their entire collection of before and after pictures for the treatment and areas you’re interested in. Always confirm that after pictures were taken at least 3 to 6 months after the procedure. Early fat transfer results can look very impressive but do not represent long-term final results.
Generally speaking, I recommend patience stay with fillers and complex difficult areas, especially around the eyes. Tellers are more predictable, precise, and far more forgiving.
Best,
Mats Hagstrom, MD