Complications Associated with Fat Grafting to the Lower Eyelid

Facial Plast Surg Clin North Am. 2019 Nov;27(4):435-441. doi: 10.1016/j.fsc.2019.07.001. Epub 2019 Aug 30.


Fat grafting is effectively used in the lower eyelid and periorbital area for rejuvenation of the aging face. Several complications may occur with fat grafting, including volume undercorrection or overcorrection, contour irregularities, prolonged bruising and swelling, infection, granulomas and inflammation, and vascular embolization with visual loss or stroke. In many cases, complications can be effectively treated, although permanent and serious injury can occur. Appropriate surgical techniques help to prevent most of these complications. An understanding of how and why complications of fat grafting of the lower eyelid occur aids in the avoidance and treatment of these complications.

Keywords: Blepharoplasty complication; Eyelid volume; Fat graft; Fat transfer; Fat transplantation; Lipofilling; Lipogranuloma.

Publication types

  • Review

MeSH terms

  • Adipose Tissue / transplantation*
  • Blepharoplasty / adverse effects*
  • Blepharoplasty / methods
  • Humans
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Postoperative Complications / surgery*
  • Rejuvenation
  • Transplantation, Autologous / adverse effects*