What should you know about fat transfer for hollow eyes?

A sunken appearance may come from natural facial structure, inherited tear-trough shape, age-related volume change, thin skin, or shadows created by nearby puffiness. A consultation checks whether added volume is appropriate and considers the eyelids, cheeks, skin, and eye health together. It also helps separate hollowing from pigmentation or loose skin, which may need a different approach.

Fat is collected from a donor area, refined, and placed in small amounts around the eye. Bruising and swelling can temporarily make the area look fuller or uneven. Some fat is absorbed during healing. Possible concerns include lumps, asymmetry, infection, bleeding, persistent swelling, altered sensation, and rare serious problems involving the eye or vision.

Tell your clinician about dry eyes, allergies, eye conditions, previous eyelid or facial surgery, medicines, and easy bruising. Review alternatives such as [Tear Trough Hollows](/conditions/tear-trough-hollows/) and [Dermal Fillers](/treatments/injectables/dermal-fillers/) so the choice matches the anatomy rather than the label of the procedure.

Arrange transport if sedation or anaesthesia is planned. Follow directions for cold packs, sleep position, cleansing, and activity. Do not massage or press the treated area unless instructed, and attend reviews to monitor the donor site and eye-area healing.

Ask for prompt advice if pain, redness, warmth, fever, drainage, or swelling is worsening instead of settling. Seek emergency care for sudden vision loss or blur, double vision, severe eye pain, difficulty moving the eye, or swelling that prevents the eyelid from opening normally.

Ask what is creating the hollow appearance, whether fat transfer is appropriate, how the eye will be protected, where donor fat will come from, and how unexpected swelling is handled. Ask when you may return to work or exercise and which eye symptoms require immediate help.