Will It Still Look the Same After 64 Days? An Honest Look at How Long Fat Grafting to the Upper Eyelids Lasts

Will it still look the same after 64 days? I’ll honestly explain how long fat grafting to the upper eyelids lasts. The question most frequently asked about upper-eyelid fat grafting is, “How long does it last?” The answer is that it varies from person to person.

In general, fat graft survival becomes relatively stable around three months after the procedure. However, the survival rate varies depending on each person’s skin condition, blood flow, and tissue characteristics. Even after undergoing the same surgery, some people have sufficient results after the first procedure alone, while others may benefit from a second procedure because the volume is insufficient after the graft has settled. Conversely, some people maintain a natural result for a long time without a second procedure. For this reason, it is difficult to state from the outset that the results will last for a specific number of years. The most important thing is not adding a large amount. It is injecting only the amount needed, delicately and precisely, into the correct anatomical layer. This can help reduce the risk of complications and support natural fat graft survival.

Grace Plastic Surgery delicately injects fat according to the structure of the upper eyelids, based on an accurate understanding of the anatomy. After observing the healing process for a sufficient period, we recommend a second procedure only when necessary. Not everyone needs a second procedure.

The results of fat grafting vary depending on how much of the fat actually survives after surgery. The survival rate differs significantly depending on skin condition, blood flow, and individual constitution. Some people maintain sufficient volume with the first procedure alone, while others may need a second procedure because the volume decreases over time. We usually observe the progress for approximately three months, assess whether any areas remain insufficient, and then decide whether a second procedure is needed.

When proceeding with a second procedure, fat is harvested again because frozen fat is not used. The most important thing in upper-eyelid fat grafting is not adding a large amount. Because the eyelid skin is thin and its structure is delicate, only the necessary amount must be divided into small portions and injected into the correct layer. Injecting too much may increase the likelihood of an unnatural appearance or lumpiness. Conversely, injecting too little may make the volume feel insufficient after the fat has survived.

In addition, hollowing of the upper eyelids may not be caused simply by a lack of fat; it can also be related to ptosis or the strength used to open the eyes. In such cases, the desired improvement may be difficult to achieve with fat grafting alone, so the surgeon may also recommend ptosis correction during the consultation.

Ultimately, upper-eyelid fat grafting is not a procedure that promises an unequivocally perfect result in a single session. The most realistic approach is to observe the fat survival process after the first procedure and add a second procedure only if necessary. The reason it is difficult to guarantee an exact duration or survival rate with a precise number is that each person’s tissues and recovery process are different.

Regarding side effects, no procedure or surgery is completely free of the possibility of complications. After fat grafting, fat lumping, infection, nodules, or calcification may occur. Although rare, vascular-related complications have also been reported. Our clinic has not had a single case of blindness or calcification to date, but it cannot be stated that these possibilities are completely nonexistent. Fat lumping is also not a common complication, but it can occur, and depending on the condition, injection treatment or removal through an incision may be necessary.

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The current cost of upper-eyelid fat grafting is 1.32 million won, including value-added tax. The procedure is performed under sedation and takes approximately 30 minutes.