LAM FACIAL PLASTICS

I have posted under a different subject but after reading all your comments on fat grafting I am intrigued about this for under eye hollows. My interest: I have a faint tear trough indentation and would like a smooth transition in this area from cheeks to eyelids. There is no smooth transition to my eyes anymore, but sort of a upside down triangle. However, it is minimal.

Question: do you inject fat directly into the orbital rim beneath the eye or do you inject the fat at the border of the bone of the cheek at the eyelid (or both?). If I understand correctly from your other posts, the injection at the border would be underneath a layer of muscle, but is there any muscle at the orbital rim, directly underneath the eyeball? If there is no muscle directly under the eyeball, would fat injections in the orbital rim have a chance of poking out into the skin?

Also, how many injection sites would there be under the eye area to fill in under eye hollowness? Do you still use cannulas or do you use needles? I thought I read somewhere on here that you transitioned to mironeedle injections but cant seem to find that thread to refer to the correct term. Thanks.

i inject fat on top of the cheek bone but also at the orbital rim but nothing closer to the eye. there is muscle there if that is your question and i go below it. for someone who is desiring a micro correction, i prefer to use fillers since they are more precise. however, for someone who wants a global rejuvenation where the eyelids, cheeks, brows, temples, and chin are improved (most people simply don't get why a little everywhere looks so much better than just fixing the obvious orbital rim. seriously, it is so hard to understand why a little in the right places looks so so much better than just filling a rim which is probably all you see.) then fat transfer is much better for global rejuvenation. it just looks softer and more blended but it is not worth it if you just have a little lower eyelid transitional issue. i use fillers for that. the best way for me to help you is to see your face because what you think you need you probably don't (sorry) and what you think you don't need you probably do. that is what i have found by treating thousands of patients. it is so hard in this forum to explain all the nuances of good facial rejuvenation rather than the obvious tear trough, folds, lips, and cheeks, which is about all people see. i use microcannulas for fillers and i use cannulas for fat. i no longer really use needles except for maybe folds or when i do silicone for acne scarring and lips. for microcannulas i typically use one entry site and for fat i use three entry points but the entries really should not make a difference to you because they are just needle stick entries. i just use what i can for ease of approach. hope all this makes sense.
best,
sml