Upper blepharoplasty and lower blepharoplasty are highly effective procedures for addressing heaviness of the upper lids and puffiness beneath the eyes. In some cases, however, there is also a degree of volume loss that contributes to a tired or hollow appearance.
Micro fat grafting can be combined with upper and lower blepharoplasty for select patients to create a more balanced and refreshed result. The key is understanding when it is appropriate and how it can enhance the results of a lower blepharoplasty or used on its own to improve the contour of the lower eyelid.
What Are Upper and Lower Blepharoplasty?
Upper blepharoplasty focuses on removing and reshaping excess skin on the upper eyelids that can create a heavy, tired appearance. Patients often feel as they age that their eyes look less open and that excess skin hangs down over the eyelid. The goal of an upper blepharoplasty is to restore a more lifted, natural contour without changing the fundamental shape of the eye.
Lower blepharoplasty addresses aging changes on the lower eyelids beneath the eye. These changes can be puffiness of the lower lids, sagging skin, hollowness, and poor skin texture. The goal of a lower lid blepharoplasty is to restore a smooth contour to the lower lid, eliminating bags, hollows and tightening excess skin.
Where Micro Fat Grafting Fits In
For some patients, the hollowing beneath the eyes can be extremely bothersome. The hollow areas can create shadows that contribute to a tired appearance.
Micro fat grafting uses a small amount of a patient’s own fat to restore volume under the eyes. Microfat can soften hollowing and improve the overall contour of the lower lid. Microfat can also be used in the temples, jowls, cheeks, and around the mouth for an overall facial rejuvenation.
The decision to include fat grafting with cosmetic blepharoplasty or on its own is based on a careful evaluation of each individual’s anatomy and goals.
Can Eyelid Surgery and Micro Fat Grafting Be Performed Together?
Yes, micro fat grafting is often performed at the same time as upper and lower blepharoplasty. When indicated, combining procedures allows for a more comprehensive approach to rejuvenation.
Each patient’s treatment plan is individualized. Some patients benefit from addressing only excess skin or puffiness, while others may benefit from a combination approach that includes volume restoration.
Dr. Jessica Lattman works closely with each patient to design a treatment plan to help to achieve the most natural and balanced result.
How Dr. Lattman Approaches Treatment Planning
A central part of the consultation process is helping each patient understand what is contributing to the appearance of their eyes. With this understanding, Dr Lattman also listens carefully to each patient’s goals and makes a plan based on the goals and what is possible with the most advanced surgical techniques.
Dr. Lattman takes time to evaluate both the appearance and function of the eyelids. As an oculoplastic surgeon, her focus both on aesthetics and preserving the mechanics of the eye. Patients often come in concerned about issues like eyelid closure or changes in eye shape, and these considerations are always part of the surgical plan.
Her approach is thoughtful and measured, and any recommendations are made based on what will create the most natural outcome, not on adding unnecessary procedures.
The Results Are Truly Excellent.
March 31, 2026
I recently had both an upper and lower blepharoplasty with fat transfer performed by Dr. Jessica Lattman, and I couldn’t be happier with my experience or results. From the very first consultation, Dr. Lattman had a wonderfully calm and confident manner that immediately put me at ease. The surgery and recovery were remarkably smooth and much easier than I anticipated. The results are truly excellent. I look like a well-rested, more youthful version of myself. Dr. Lattman is a true artist and a skilled surgeon whom I highly recommend.
What Patients Can Expect During Blepharoplasty with Micro Fat Transfer
When procedures are combined, they are performed in a way that is seamless. Recovery is similar to blepharoplasty alone, though there may be some additional swelling depending on the extent of fat grafting.
Most patients can expect:
● Mild swelling and bruising that improves over the first one to two weeks
● A gradual softening of the under-eye area as healing progresses
● Results that look natural, not obvious
Patients frequently describe being told they look well-rested, without others being able to identify exactly what has changed.
Schedule Your Consultation with Dr. Lattman in NYC Today
If you are considering eyelid surgery, the most important step is choosing a surgeon you feel completely comfortable trusting. Patients consistently describe feeling genuinely cared for by Dr. Lattman from the first consultation through recovery. She takes the time to listen, answer every question, and guide you toward a plan that feels right for you – never rushed or pressured.
Many of her patients come to her after extensive research or personal recommendations and often share how supported they felt at every stage of the process. The experience is thoughtful, responsive, and highly individualized, with a level of attention that patients remember just as much as their results.
A consultation with Dr. Lattman is an opportunity to understand your options, ask questions, and feel confident in your next step. To schedule your consultation, we invite you to contact us online or call (212) 832-5456 today. We look forward to hearing from you.
