Can fat grafting replace infraorbital implants for under-eye hollowing? (structural vs camouflage)

[MikeAnthony]

Hey guys, I’m trying to figure out the best way to fix my under-eye hollowing / tear troughs. From what I understand, my issue seems to be a mix of hollowing and weak midface support (negative vector). I was originally considering infraorbital / malar implants, but I was quoted around $20k+, so now I’m looking into fat grafting as a more affordable option.





My main questions are:

1. Can fat grafting realistically achieve a similar aesthetic result to infraorbital implants for under-eye hollowing, or is it noticeably worse in terms of projection and structure?
2. If the issue is structural (bone deficiency / lack of support), is fat grafting basically just camouflage rather than a true fix? Can fat actually compensate for weak bone support or will it always fall short compared to implants?

I’m trying to decide if fat grafting is a legit standalone solution or more of a temporary compromise before going the implant route. Would appreciate input from anyone with experience or knowledge on this.

 

[yussimania]

Fat grafting to replicate an implant will actually cause scleral show lad

Think about it, fat floating above the periosteum that isn't anchored to anything is just gonna be a dense ball of gunk sitting there and gravity will bring that down and sag your lower eyelid - I've asked a few people and they have confirmed this has happened to them

Not to mention as LT puts it "a speed run to lower bleph" due to your lack of bony support resulting in orbital fat to bulge against the orbital septum with age

 

[cutecel1337]

Hey guys, I’m trying to figure out the best way to fix my under-eye hollowing / tear troughs. From what I understand, my issue seems to be a mix of hollowing and weak midface support (negative vector). I was originally considering infraorbital / malar implants, but I was quoted around $20k+, so now I’m looking into fat grafting as a more affordable option.





My main questions are:

1. Can fat grafting realistically achieve a similar aesthetic result to infraorbital implants for under-eye hollowing, or is it noticeably worse in terms of projection and structure?
2. If the issue is structural (bone deficiency / lack of support), is fat grafting basically just camouflage rather than a true fix? Can fat actually compensate for weak bone support or will it always fall short compared to implants?

I’m trying to decide if fat grafting is a legit standalone solution or more of a temporary compromise before going the implant route. Would appreciate input from anyone with experience or knowledge on this.

Go with implants

 

[esoterik]

no

 

[MikeAnthony]

Fat grafting to replicate an implant will actually cause scleral show lad

Think about it, fat floating above the periosteum that isn't anchored to anything is just gonna be a dense ball of gunk sitting there and gravity will bring that down and sag your lower eyelid - I've asked a few people and they have confirmed this has happened to them

Not to mention as LT puts it "a speed run to lower bleph" due to your lack of bony support resulting in orbital fat to bulge against the orbital septum with aged

Fat grafting to replicate an implant will actually cause scleral show lad

Think about it, fat floating above the periosteum that isn't anchored to anything is just gonna be a dense ball of gunk sitting there and gravity will bring that down and sag your lower eyelid - I've asked a few people and they have confirmed this has happened to them

Not to mention as LT puts it "a speed run to lower bleph" due to your lack of bony support resulting in orbital fat to bulge against the orbital septum with age

Dm me please , thank you for feedback

 

[MikeAnthony]

Go with implants

The only route I see that can work with low risk is eppley but that cost is insane I feel stuck

 

[cutecel1337]

The only route I see that can work with low risk is eppley but that cost is insane I feel stuck

Eppley is jew, i think everyone can make a custom implant in eu for 2x less

 

[MikeAnthony]

Eppley is jew, i think everyone can make a custom implant in eu for 2x less

Do u know any out of country surgeons specializing in the Inframalar regions and do 3d custom saddled ? That’s my issue seems Eppley only one

 

[cutecel1337]

Do u know any out of country surgeons specializing in the Inframalar regions and do 3d custom saddled ? That’s my issue seems Eppley only one

Giant if he didn’t scammed i thought i had same thing with eppley (brow ridge augmentation) but he is one who post results, just contact someone who does custom implants ill make a single thread abt this with list in future

 

[MikeAnthony]

Giant if he didn’t scammed i thought i had same thing with eppley (brow ridge augmentation) but he is one who post results, just contact someone who does custom implants ill make a single thread abt this with list in future

Please help me pursue this as I have no knowledge of how to do out of country with these specific implants being so niche

 

[zemult]

Not for you

 

[MikeAnthony]

Not for you

Elaborate

 

[zemult]

Elaborate

Underlying orbital structure doesn't look great. I could be wrong, but you have that hamza bug eyed look

 

[medialcanthus]

Fat grafting to replicate an implant will actually cause scleral show lad

Think about it, fat floating above the periosteum that isn't anchored to anything is just gonna be a dense ball of gunk sitting there and gravity will bring that down and sag your lower eyelid - I've asked a few people and they have confirmed this has happened to them

Not to mention as LT puts it "a speed run to lower bleph" due to your lack of bony support resulting in orbital fat to bulge against the orbital septum with age

@Ascendant2364

 

[MikeAnthony]

100% agree , I think the supras are ok the infraorntial and mid face clearly deficient , wanted to see if I could camouflage for now with fat graft but it’s unlikely . I’m pursuing custom infraorbital and malar implants . But the only reliable surgeon / designer I see is eppley whose prices are insane . I’m really looking for guidance on other options with same level results

 

[justjutting]

Do u know any out of country surgeons specializing in the Inframalar regions and do 3d custom saddled ? That’s my issue seems Eppley only one

Ram, pag

 

[Fax]

Mehmet, burak

 

[Ascendant2364]

@Ascendant2364

Oh yea totally it cant replicate bone he's right. If your infras are actually recessed then it isnt a good choice. In my case my infras are good but my under eyes dont have enough fat. So its a case by case thing.

 

[MikeAnthony]

Oh yea totally it cant replicate bone he's right. If your infras are actually recessed then it isnt a good choice. In my case my infras are good but my under eyes dont have enough fat. So its a case by case thing.

Do you have any recommendations for fully custom infraorbital malar implants , or a way to get this in process , I got the eppley 23k quote way out of budget looking for out of USA surgeons who do this regularly . Budget 10-18k, was just in talks on DM with Giant , but after reading reviews on people paying and year long delays not taking risk .

 

[Ascendant2364]

Do you have any recommendations for fully custom infraorbital malar implants , or a way to get this in process , I got the eppley 23k quote way out of budget looking for out of USA surgeons who do this regularly . Budget 10-18k, was just in talks on DM with Giant , but after reading reviews on people paying and year long delays not taking risk .

Yea i can dm you

 

[MikeAnthony]

Yes please do , thank you

 

[BronzeSpartan2]

Consider consulting with an oculoplastic surgeon who does implants regularly, like Dr Ramesh.

 

[Fax]

Consider consulting with an oculoplastic surgeon who does implants regularly, like Dr Ramesh.

who the fuck is dr ramesh

 

[cometohaunted]

Hey guys, I’m trying to figure out the best way to fix my under-eye hollowing / tear troughs. From what I understand, my issue seems to be a mix of hollowing and weak midface support (negative vector). I was originally considering infraorbital / malar implants, but I was quoted around $20k+, so now I’m looking into fat grafting as a more affordable option.





My main questions are:

1. Can fat grafting realistically achieve a similar aesthetic result to infraorbital implants for under-eye hollowing, or is it noticeably worse in terms of projection and structure?
2. If the issue is structural (bone deficiency / lack of support), is fat grafting basically just camouflage rather than a true fix? Can fat actually compensate for weak bone support or will it always fall short compared to implants?

I’m trying to decide if fat grafting is a legit standalone solution or more of a temporary compromise before going the implant route. Would appreciate input from anyone with experience or knowledge on this.

Interested in this, looking for a similar thing

 

[lurking truecel]

get spacer graft for lower eyelid retraction, then get implants, you dont need saddled or a complex design. Then fat on top

 

[Fax]

get spacer graft for lower eyelid retraction, then get implants, you dont need saddled or a complex design. Then fat on top

This.

 

[Fax]

get spacer graft for lower eyelid retraction, then get implants, you dont need saddled or a complex design. Then fat on top

Would it be possible to do spacer grafts after the infraorbital malar implant, assuming that might give him enough support?

 

[lurking truecel]

Would it be possible to do spacer grafts after the infraorbital malar implant, assuming that might give him enough support?

Yes it would

 

[BronzeSpartan2]

who the fuck is dr ramesh

Good surgeon, Dr Deepak Ramesh (in US btw)

 

[Fax]

Good surgeon, Dr Deepak Ramesh (in US btw)

Doesn't seem to use implants often.

 

[bjebb007]

I think you are a good candidate for implants. If you don't want implants route I think you need like ptosis repair, lower eyelid retraction, fat graft