Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Fat Graftings for Under Eye Hollows. San Jose, CA

UPDATED FROM 4ever Young
1 year post

11 month update - the fat didn't survive

4ever Young
WORTH IT
Sorry to say, none of the fat survived. I can't blame the doctor, he was good; I think it was all the scar tissue there. Just keeping my review real. No time for photos.

4ever Young's provider

Dr. Laurence Berkowitz

4ever Young ratings

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr. Berkowitz made the time to answer all my questions, both before and after. His follow-up was good too. Most importantly though, he is meticulous about his treatment.

Replies (2)

January 9, 2017
Are you going to do another round? With the eyes the deeper the fat is injected the better rate of survival. Adding a bit of prp helps fat retain as well.
November 3, 2018
That sucks. Maybe change the review from Worth it to not worth it?
UPDATED FROM 4ever Young
1 month post

4 week update - some fat loss

4ever Young
I saw my doctor today - my. He was kind as always, but at this point he seems confident we will need another round, darn.

Although at 3 weeks you have a strong idea, it takes 3 months to see what fat survives. We can already see the loss just since last week (or reduction in swelling).

I'm still better than 'before' but can start to see a bit of shadowing again, darn.

He had put in 1cc under each eye (2 cc's total) and says that is what he would do again. He says he just doesn't like putting in more than that at one time - probably for the risk of potential lumpiness or over fill.

I already knew I'd need another round for my cheek dent. It got pretty flat again, but needs to be a bit rounded to look natural.

Replies (2)

February 22, 2016
Hi there! I had fat transfers one year ago to my under eye hollows. I have what appears to be cheek dents and lumps right near the tear troughs. My ps seems to think it will go away but it's been a year. Just wondering if you could post a pic that shows more of your eyes (not your whole face if you don't want but at least more of eye area. I'm not sure what is normal at this
point. Thank you
February 25, 2016
Hi Avid Runner Girl,

I am not comfortable showing more of my eyes - they are the biggest identifier their is (and facial recognition technology is improving constantly - they don't need the full eye to match you. Google image matching already lets you match images on line with other online images.

I know there are risks, but I have zero dents/lumps from the fat grafting. I just wish that we wouldn't lose that 50%. On the other hand, my fat loss dent from Infini-RF still needs more grafting to look normal. Hard to wait.

I think a year is plenty of time for them to go ahead - sorry, I'm not with your doctor there. I know that lipo and fat grafting can leave lumps. I had them from the lipo for the fat extraction, so I was told to massage them after a couple of weeks, to keep it smooth. Harder with fat, but I'm been told that 4 weeks is safe to gently massage. I am no doctor, but the only solution I can think of this late are those tiny suction cups.

I've used them for cellulite bumps/dents and the 'help reduce the appearance'.

THey have multiple sizes and so can be used under the eyes - VERY GENTLY of course or you can do damage. I'm not doing it now, but used to years ago, just for circulation. Did it with an oil so it slid.

If you go to ebay and search for 'vacuum cups cellulite' you will see them. Blue bulbs and glass bottoms. You can test it out on other parts of your body first. And ask your PS if you want advice from a true doctor. At least research it....

No idea what else to do other than go to a different PS who isn't defending his own work and see if he has ideas on 'repair'.

Sorry about your bad luck!!
February 25, 2016
I totally understand about not wanting to post more pics--hence, probably why mine aren't posted. :-). I have never heard of the suction cup technique. I will google it. Do you just rub it on the area? Thanks so much for your help. Best wishes to you!
April 5, 2016
Hi, I hope you're doing well. Would you mind to share your experience with the second treatment? Do you need more treatments or second one resolved the hollows? Thank you for taking time sharing your experience.
UPDATED FROM 4ever Young
19 days post

Day 19 - Happy, and Skin texture is better also

4ever Young
It's almost 3 weeks now. I'm marking this as "worth it", since 3 weeks is pretty much the final result post swelling.

He left 'contour' under my eye to look natural. But NO more SHADOW, hurrah!

And my skin texture is better, just as he hoped - from the stem cells. This isn't clinically proven, but lots of anecdotal evidence to support that.

Replies (4)

February 9, 2016
Amazing, so happy for you. I also would love to get rid of my under eye hollows/shadows, but for some reasons all doctors I discussed to have a fat transfer suggesting to get fillers instead. Under eye area is so delicate, I'm just not comfortable to have fillers in that area.
February 9, 2016
Hi Amazinga,

Every doctor I spoke with (except two now) wanted to do fillers under the eyes also.

I not sure if it's because it's harder to get right with fat (I've heard that)? For sure I wanted someone who did it a lot for that reason.

Since you are in the Bay area, you can speak with my doctor to get his input. He had a bunch of photos of other women he did it too, though a lot of them had a bit added to there cheeks too. Still, you could make a better assessment.

I need to figure out how to add his name - will try to do that now.
February 9, 2016
I just added his name. I wanted to make sure I was happy first, as I wanted my review to be completely frank.
February 10, 2016
Thank you! He is in the same area as my two plastic surgeons, I like them both (one did BA which turn very nice, but other is doing botox better). I was kind of hopping that your ps would be one of them :) they too are highly rated ps.
February 11, 2016
Isn't it funny how each doctor has his own specialty where they really excel. I know a doctor further up the peninsula who is the best at subcision for acne scars, and one in Beverley Hills best at laser acne scar removal.

Sometimes it takes a couple of tries, but like you, once I find someone I trust for a particular specialty, I tend to stick with them!

Does your local doc do browlift botox? I only tried botox a couple of times as I ended up with brow drop and was so awful I just stick with eyebrow exercises now. :)
February 11, 2016
Yes, they both do, but I didn't like it, I tried it a few times and my brows raised so high, for me it looked weird, the shape of my eye brows becomes more round and picked at 3/4 at the end, its just not me, I like when they are almost in strait line. So, I'm thinking when I'm ready I would add fat or fillers to the temple area to raise my eye lids/brows, but no botox for me. I was advised doing Sculptra in temple area rather than fat, but I still thinking the fat is better, Sculptra has mixed reviews, I don't want to compromise my health. However, a few years ago I was referred to dermatologist by my prime doctor regarding some issue I still have. While I was waiting for him, his nurse showed me literally hundreds of photos of women who done Sculptra at their office (on Hospital Dr.), they looked so refreshing and look like at least ten years younger, I almost sold, but they were so pushy I didn't like it.
February 12, 2016
These pictures are so close up that they're not worth having.
February 12, 2016
Wow, what a mean and un-constructive comment

You can just skip my review if it doesn't help you, rather than sniping.

Who are you to judge others here for not being willing to share their identity?
February 13, 2016
Well said 4ever Young!! I agree with you 100%
February 12, 2016
Sorry did not see additional picture when I posted
User Avatar
February 17, 2016
How long will you stay on a low fat diet for?
User Avatar
February 17, 2016
Oops, I meant to write low salt diet.
February 18, 2016
Even though I know 'low salt' decreases swelling, I only watched me salt intake the first 2 weeks when I was super swollen. During that time, I could really tell the difference in my face when I had extra salt.

Once I felt I looked pretty normal to others, I tested normal salt intake - by week 3, I no longer had any visible reaction. I love my sea salt! (and fortunately have low enough blood pressure to enjoy it)
User Avatar
February 18, 2016
Ah, thanks.