Three approaches to tear-trough volume
- Fat repositioning (during bleph) — the herniated lower-lid fat from above the rim is mobilized and secured into the trough below. Uses your own tissue, no separate harvest, permanent.
- Fat grafting — fat harvested elsewhere (typically thigh or abdomen) is processed and injected into the trough. More volume available than repositioning; survival is technique-dependent (60–80% typical).
- Hyaluronic acid filler — done in clinic, not surgical. 9–18 month duration. Reversible.
When to choose which
- Existing bag with hollow below: fat repositioning during bleph — most elegant solution
- Hollow without bag (younger patient): HA filler first (reversible trial); fat grafting if happy long-term
- Severe hollow + no bag: fat grafting (more volume possible)
- Mild hollow that bothers you: HA filler — surgery may not be needed
Frequently asked questions
Can filler be done after blepharoplasty if I'm still hollow?
Yes — wait minimum 3 months post-bleph (preferably 6) for swelling to fully settle, then filler can refine the result if needed.
Does fat grafting last forever?
The fat that survives the transfer is permanent. Survival rates vary 60–80% with current techniques. The permanent component is durable; if the result is undercorrected, a second graft session is straightforward.
Not sure if you're a candidate?
Blepharoplasty is most successful when patient anatomy, age, and goals align with what surgery can realistically deliver. Send three facial photos (front, profile, eyes-closed) and Doç. Dr. Erdal will give you an honest, no-pressure suitability assessment before you commit to anything.
Ready to discuss your case?
Doç. Dr. Erdal personally reviews every enquiry. Honest assessment of whether blepharoplasty is right for you, with no pressure to book.