Our expert says:
Hi D, thank you for the question.
I am not 100% sure if the sagging has occurred in the upper eye or the lower eye area; generally speaking fat grafting will not make much of a difference to the upper eye area – surgery is your best option. With the lower eye area fat grafting or fillers can make a significant difference to the overall appearance but considering that these changes happened early on there is most probably a strong genetic association and typically the best option is to consider surgery.
My advice would be to consult a plastic surgeon who can examine the areas of concern and advise you on the best treatment options.
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