Under-eye hollowing is treated three ways: with filler, which is an injectable treatment this record does not price, by repositioning the fat already there during lower eyelid surgery, or by grafting fat harvested from elsewhere. The last two are surgery. The American Society of Plastic Surgeons publishes an average cost of a lower blepharoplasty of $3,876 as a surgeon fee excluding anesthesia, operating room facilities and other related expenses, which is the nearest published anchor.
Ask providers for a written price
Repositioning against grafting
In many lower eyelid operations the surgeon moves the fat already present rather than adding any, which needs no donor site and no harvest. Grafting takes fat from elsewhere by liposuction, processes it and places it, which adds a second surgical site and more theatre time. The two are different operations with different quotes, and which one is proposed should be written down before any comparison is attempted.
Why the harvest changes the bill
It adds time, a second prepared site, and usually a garment for the donor area. ASPS publishes an average cost of liposuction of $4,711 as a surgeon fee, which is not what a small facial harvest would be charged at, but does indicate that a harvest is a real surgical component rather than a preparatory step thrown in. Ask whether the quote covers the donor site and its aftercare.
What this record does not cover
Dermal filler under the eyes is an injectable treatment sold largely by med spas, with its own pricing, duration and complication profile, and it is not part of this surgical price record. Nor does this page advise which of the three routes suits any particular face. That is a clinical judgement made on examination.
Questions people ask about fat transfer under eyes
What does under-eye fat transfer cost?
No national average is published for it. The nearest published figure is the ASPS lower blepharoplasty average of $3,876 as a surgeon fee excluding anesthesia and facility.
Is repositioning cheaper than grafting?
Generally, because it needs no donor site or harvest. Ask which the surgeon proposes, in writing.
Do you price under-eye filler?
No. Injectable treatments are a different trade with a different price structure and are not part of this record.
Does the quote include the donor site?
Ask. The donor area needs preparation and usually a garment, and both are costs outside the surgeon fee.