Julius W. Few, MD

Contour irregularities after lower eyelid and/or cheeck fat injection can be very difficult to correct.  There are a number of variable that affect this difficulty, including what level the fat was injected.  If the fat was injected very close to the skin surface, this is more difficult.  As I am not seeing you as a patient, I am not able to comment on your specific case but I can offer some general thoughts.  I have treated patients in the past with fat irregularities after injection and I have used a couple of different approaches. For more superficial fat collections, this has required a direct removal, making a small cut over the area in question.  For deeper irregularities, I have treated the fat deposits by going in through the inside of the lower eyelid.  Unfortunately, either option requires a great deal of patience for the surgeon and the patient.  I would recommend you find a board certified plastic surgeon in your area, who has experience with fat grafting.  You can refer to surgery.org or plasticsurgery.org for a member of the American Society for Aesthetic Plastic Surgery or the American Society of Plastic Surgeons.  Good luck and I hope things get better without needing more treatment!