Upper Eyelid Fat Grafting, the Misconception That Putting in a Lot of Fat Will Make It Last Longer

Table of Contents

▶ Fat grafting: why do concerns arise?

▶ Does fat grafting really all get absorbed?

▶ Can fat move downward?

▶ Upper eyelid fat grafting: the most important point

What comes to mind when you think about fat grafting?

Have you ever had these concerns?

“Fat grafting seems good, but won’t it get absorbed and disappear quickly?”

“If I get fat grafting, won’t it sag downward as I get older?”

Or

“Won’t fat grafting make the area uneven?”

In fact, because the skin above and below the eyes is thin and translucent, autologous fat, which has a yellowish tone, is one of the most ideal materials for adding volume.

So why do these concerns come up?

Sunken eye case

1. Does fat grafting really get absorbed and disappear?

The absorption rate of fat grafting varies greatly depending on the area where it is placed.

The area around the eyes requires only a small amount, but the survival rate is relatively high.

If too much is grafted, it can become so swollen that removal is needed, and especially when a large amount is grafted, the thin skin can make it look even more uneven.

Therefore, the amount must be very precise, and the depth must be matched exactly.

If it is placed too superficially in the orbicularis oculi muscle or near the skin, the fat can spread in patches between the muscle fibers like cheese in a cheese bun, making it uneven and very difficult to remove.

When deciding how much to graft, to put it somewhat loosely, it is often better to place a little less than you think you need.

Upper eyelid fat grafting procedure

2. Can fat flow downward?

Some people worry that if fat is grafted to the front cheek or above the eyes, it will flow downward like water.

But in reality, unless the amount of fat is very large, it is not heavy enough to move downward.

Fat is initially somewhat mobile, but over time it becomes attached to the surrounding tissue and takes hold, so it has very little mobility.

As people age, cells generally change in the direction of becoming smaller, and if there are changes such as weight gain in between, they can temporarily become larger, but ultimately they tend to gradually become smaller.

3. In conclusion, how do you do upper eyelid fat grafting well?

You should never put in a large amount.

Only by placing the proper amount can the result after the procedure look natural and be the most aesthetically pleasing.

So far, I have explained the parts that people ask about most often regarding upper eyelid fat grafting.

The idea that “putting in a lot of fat will make upper eyelid fat grafting work well” is not correct.

The amount of fat must be adjusted very carefully, and even with an appropriate amount, you can still achieve a good result.

Dr. Im Seong-yoon during surgery

It is best to decide on the amount of grafting through sufficient consultation with a board-certified plastic surgeon who is experienced and highly skilled in upper eyelid fat grafting.

Thank you.