Howdy Dr Lam,
I'm a pretty average (maybe on the thinner side) 36 m, and I've seemed to have developed hollowing of the eyes over the last few years, as it runs in my family. I've exhaustively researched the different methods, techniques and procedures (probably more than I should have) and I've known of your success with your patients for quiet some time. If I get anything done involving my eyes, I know for sure I will choose you. So with that, my questions are as follows:
1.) While I know that your fat grafting is probably what I want and need, I'm sure it will be pretty expensive compared to using a temporary "fix" such as restylane under the eyes. I've read several times that this is the product of choice for under-eye treatments. However, can good results be achieved with restylane if you perform this? If so, albeit only temporary, are the temporary results similar or comparable to what can accomplished with a fat transfer when it comes to getting rid the hollowing appearance?
2.) I seem to have a few tiny veins that love to show themselves within my eye hollows which makes their appearance even worse. If I'm kinda "veiny" should I expect more bruising after injection or a fat transfer? Would having these tiny veins under my eyes complicate or inhibit any of the procedures?
3.) Would it be possible to do a fat transfer under the eyes with only local anestesia?
Thank you for your help. You have a fantastic website!