I have sunken areas beneath my eyes.

Question:
I have sunken areas beneath my eyes. It looks like these circles need to be filled in. Would blepharoplasty or a facial fat transfer be the best option here?

Answer:
You are asking a very good question with regards to your eyes. The question of whether fat transfer or blepharoplasty is the best procedure can only really be answered with a proper consultation. In my experience, a combination of the two may be indicated. I generally perform lower lid blepharoplasty for excess skin, lax muscle and laxity of the lower eyelid, and for fat bulges. If there is a hollowness to the eyes along with some of the other findings I mention above, then I perform fat repositioning in combination with the lower lid blepharoplasty. I rarely remove fat from the lower lid without repositioning the fat as I feel that removing too much fat leaves the lower eyelid looking hollow and skelatanized rather than youthful and refreshed.

Posted by Dr. Philip Schoenfeld