Can a Fat Transfer correct volume loss around eyes? (photos)

I've lost a great deal of volume around my eyes and through my cheeks. I've always had deep set and hallow eyes with cheeks that were quite chunky.. I was wondering if a fat transfer could restore this? I have tired Restylane and always get eye infections and it swells even now 6 months later so I'm not ever putting that back in my eyes.

Doctor Answers 7

Fat Grafting for hollows under eyes

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Fat grafting can be the ideal solution to under eye hollows. It  can provide a soft, natural looking permanent result. Fat grafting requires, expertise, experience significant training and patience from a plastic surgeon. Find a plastic surgeon who can demonstrate success with fat grafting by sharing many many before and after images of patients they have treated. Then check for and confirm any plastic surgeon you consider has excellent training, credentials and the philosophy of the plastic surgeon you would like to consider before scheduling a consultation. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Periorbital Fat Grafting

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Fat grafting to the eyes is a great way to improve the hollow around your eyes as long as it is done by an experienced surgeon. Many people think they have dark skin under their eyes. Sometimes, it truely is dark pigmented skin, but often it is just a shadow from the hollow. If done conservatively, it can significantly improved the hollowed, sick, or emaciated appearance.

A fat transfer around the eyes would help you improve the hollow appearnace.

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Fat transfers to this area are technically difficult, so make sure you find a surgeon who has experience working in this area.  The eyelids may also get quite swollen afterwards, so expect some downtime and an overcorrected appearance initially.   

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 31 reviews

Fat transfer for volume loss

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Hello and thank you for your question.

To answer your question, yes a fat transfer can help you. This is a procedure I perform for periocular (around the eyes) rejuvenation routinely. I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.

Best of luck to you

Fat transfer plus fractionated resurfacing would work well

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Your photos demonstrate mild under eye volume loss as well as early skin aging changes with textural aging as well as pigmentation.

Fat transfer has the power to provide permanent volume to the region similar to the effect that fillers may have done for you.  While the volume would be the single most effect option to optimizing your lower eyelid aesthetics, the skin issues are also part of the problem, and so I'd suggest you consider fractionated laser resurfacing to complete the treatment for your lower eyelids.  The laser could easily be performed at the same time, and also could be used to treat your upper eyelids to provide with with a real boost.  You'd need to be careful about pre treament and post treatment with topical products such as hydroquinone to optimize the pigment stability of your eyelid skin.

I hope this helps you.  I wish you the very best!

Tanuj Nakra, MD, FACS
Austin Oculoplastic Surgeon

Can a Fat Transfer correct volume loss around eyes?

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   Fat grafting is a reasonable alternative to continued temporary filler injections.  The result will be permanent.  Sometimes the fat grafting needs to be repeated, as it is better to underfill rather than overfill the area.

Kenneth Hughes, MD

Los Angeles, CA

Fat grafting for the eyes

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Dear Lilah31,

  • Fat grafting under the eyes can replace regular Restylane injections for a more permanent result
  • It does take a certain level of expertise and experience to graft under the eyes, so choose your surgeon carefully
  • With proper technique, the results are fantastic

Best regards,
Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 85 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.