When fat removal left a hollow.
Over-resection can leave the under-eye hollow, tired, or shadowed. Correction is not simply adding volume; ST first checks whether repositioning, fine grafting, or both are needed.
What this addresses
- Pronounced under-eye hollows after fat was over-removed
- Visible hollow between the lower eyelid and cheek
- Skeletonized, tired appearance from a negative-vector contour
- Loss of the mid-face transition
Simple excision in a negative-vector under-eye worsens the tear-trough deformity — which is how many of these hollows were created. Correction is about where volume sits, not just how much: micro-fat grafts are layered in the deeper planes so the result reads as a natural gradient rather than a lump.
The Process
3D Mapping
Photograph in multiple lighting conditions to identify exact volume deficits.
Donor Site Selection
Donor and method are determined only after consultation; ST’s public material notes fat grafting can be added when under-eye fat is insufficient.
Layered Grafting
Micro-grafts placed in deeper planes rather than just under the skin — subperiosteal repositioning of fat avoids the lumpiness that occurs when it sits above the periosteum.
Touch-Up Window
Fat-grafting response varies by patient; touch-up decisions should be made only after direct follow-up and physician assessment.
“Under-eye correction begins by identifying the cause: fat, groove, support, pigmentation, prior procedure change, or a mixed pattern.”
Frequently asked
Fat-grafting suitability and expected retention must be discussed individually during consultation; ST positions it as an adjunct used when under-eye volume is genuinely insufficient.
Filler adds volume but does not address the structural cause of the hollow, and the under-eye skin is thin and unforgiving here. As a revision practice we favour correcting the cause with the patient's own tissue over masking it.
Considering revision? Start with an easy consultation.
You do not need to decide on surgery first. Send photos and prior procedure history, and ST will help you begin comfortably.