Endoscopic Sunken Eyes Correction with Infratemporal Fat Transposition

What Is Infratemporal Fat Transposition?

Traditional sunken eye treatments rely on injectable fillers or fat grafting, both of which face inherent limitations. Fat injections experience resorption rates of 30-50% within the first year as the body breaks down the transferred cells. Infratemporal fat transposition bypasses these challenges entirely.

During this procedure, a living fat pad from the infratemporal region (the hollow area above and in front of the ear, beneath the temple) is carefully repositioned as a single unit. Critically, the tissue retains its original blood supply—it remains “pedicled,” meaning it stays connected to its feeding vessels. This preservation of vascularization ensures the transplanted tissue survives and integrates permanently into the eyelid, eliminating the resorption problem that plagues traditional grafting.

The technique requires only a 2 cm incision hidden within the hairline of the scalp, leaving no visible scarring. From this single, concealed access point, Dr. Askeroglu tunnels beneath the bone to reposition the fat pad into the hollow upper eyelid, restoring lost volume with precision.

About Bella Eyes®: The Perfect Complement

Bella Eyes® is one of the most innovative surgical methods in facial aesthetics today. This patented technique, developed by Dr. Ufuk Askeroglu, uniquely combines endoscopic dynamic canthopexy with lateral brow lift—addressing two critical areas simultaneously:

• The lateral canthus(outer corner of the eye), which is lifted and dynamically repositioned
• The lateral brow, which is elevated to complement and enhance the eye lift

The result is superior facial harmony, a more dramatically refreshed appearance, and eyes that appear larger, more open, and youthful. When combined with infratemporal fat transposition, the sunken eye correction is performed through the same hairline incisions, creating a comprehensive rejuvenation that addresses volume loss, tissue position, and overall eye aesthetics in one surgery.

Bella Eyes® has been featured in leading medical publications including ISAPS and PubMed, establishing it as a recognized advancement in facial aesthetic surgery.

About Trinity Lift: The Mid-Face Alternative

Trinity Lift is an endoscopic mid-face lift procedure, also developed and patented by Dr. Ufuk Askeroglu, that rejuvenates the entire mid-face area including the cheeks, under-eye region, and mid-face tissues. Using advanced endoscopic technology accessed through two small hairline incisions, Trinity Lift lifts and secures underlying tissues and muscles, creating a natural and subtle restoration of youthful contours.

When infratemporal fat transposition is combined with Trinity Lift, the result is comprehensive mid-face rejuvenation: the fat transposition addresses the hollow eyelids while Trinity Lift restores cheek volume and overall mid-face projection, creating dramatic yet natural-looking results.

Trinity Lift has also been published in ISAPS and PubMed, affirming its efficacy and safety.

Am I a Candidate?

Ideal candidates for this procedure have:

• Hollow or sunken upper eyelids causing a tired or aged appearance
• Good overall health with no contraindications to surgery
• Realistic expectations about surgical outcomes
• A commitment to following pre- and post-operative instructions
• Interest in combining the procedure with Bella Eyes® or Trinity Lift

During your consultation, Dr. Askeroglu will evaluate your anatomy, assess the degree of volume loss, and discuss which combination of procedures will deliver your desired results.

Investment and Procedure Details

Cost

• Infratemporal fat transposition when combined with Bella Eyes® or Trinity Lift: Contact Our Clinic for detailed pricing.
• This is an additional cost to the primary procedure

Procedure Time

• Adds 20 minutes to your primary surgery

Incisions

• Utilizes the same 2 cm hairline incisions as your primary procedure
• No additional scarring

Results You Can Expect

Results become visible within the first 1-2 weeks as initial swelling resolves, though the complete transformation unfolds over 2-3 months as tissue settles and integrates. Because the fat is living, vascularized tissue, the results are permanent. You will never experience the gradual volume loss that occurs with injectable fillers.

The upper eyelid hollow is filled with natural contour, fine lines and wrinkles in the eye area soften, and your gaze appears more open, refreshed, and youthful. When combined with Bella Eyes® or Trinity Lift, the comprehensive rejuvenation creates harmonious facial proportions and a dramatic but authentic transformation.