Under-Eye Dark Circle & Sagging Removal, Condensed Rich Fat (CRF) Injection

Treatment details: Under-Eye Dark Circle & Sagging Removal, Condensed Rich Fat (CRF) Injection

Under-eye dark circle and sagging removal takes out excess orbital fat from inside the lower eyelid. A 5 to 7 mm incision is made in the conjunctiva behind the lower eyelid, so the outer skin is not cut. Condensed rich fat (CRF) injection uses fat taken from the patient’s own body. The fat is purified and concentrated, then injected into the face with a syringe, here from under the eyes down to the midcheek groove. No incisions or sutures are needed at the injection site.

Bruising and swelling can last two to three weeks after treatment. Part of the grafted fat is naturally absorbed over the first three months, so the volume seen early is not the final volume. The contour is judged at three months, once part of the graft has been absorbed.

Swelling and bruising of the lower eyelids are pronounced during the first week and can take three weeks to clear fully. The area may feel tight or numb while the tissue settles. Removing too much fat can leave a hollow, and removing too little can leave a residual bulge, either of which may need revision. The position of the lower eyelid can change temporarily, and in rare cases the eyelid margin turns outward and needs correction. Bleeding and infection are uncommon. Any change in vision after surgery around the eyes needs urgent assessment.

Fat for the grafting is usually collected from areas such as the inner thighs or the abdomen. At the harvest site, muscle soreness can last about a week. When the fat is taken from the thigh, tingling or a mild heaviness like muscle pain can last about three weeks, and the area may also feel temporarily firm. A very small incision is made for fat suction. Redness may last for one to two months after treatment but gradually fades, and a fine white scar only a few millimeters in size can remain. When fat injection is included, downtime can extend from several days up to around 10 weeks, and lumps or small cysts occasionally form and may need treatment. Part of the injected fat is naturally absorbed over the first three months, and reinjection is possible if more volume is wanted after the initial result.