Fillers or Fat Injections for Undereye Hollows?
Q: Dr. Eppley, I was hoping to schedule an appointment with you soon for undereye filler. I’ve had this done several times before. I attached a photo, if that’s helpful. I don’t have considerable hollows or wrinkles, but I’ve noticed some flatness since the product has worn off. Is this something you’d recommend correcting with filler? I don’t envision needing a ton of volume, just a little extra plump-ness! It’s been over a year since I’ve had any filler. (Before I had surgery with you, actually!)
I’m considering fat transfer in the future for more permanency, and I was hoping for your opinion on this?
A: Good to hear from you. Almost all injectable filler treatments done in my practice are done by my master injector Amanda who has done it full time for 15 years.
If you have had successful filler injections to the undereye area in the past then there would not reason not to have more with the unfortunate understanding that they are not permanent.
Fat transfer is the other injectable option and some good permanent results can potentially be obtained. However fat transfer is not predictable in terms of survival in thin young patients and is also very prone to irregularities which can be a hard problem to solve. The only assured smooth and permanent results obtainable for infraorbital hollows are custom made implants.
Dr. Barry Eppley