Hang in there

Marc Cohen, MD answers: Fat Transfer correction through Blepharoplasty?

I had a fat transfer under my eyes because they were so hollow. Around 6 months later, there was an uneven swelling that hardened into uneven lumps. It made me look like I had pouches. So I went back to the surgeon who suggested that the best correction to resolve this was to perform a full blepharoplasty. This was 2 days ago and am panicking about what I have done to myself. Was this a bad choice? What options do I have for correcting this?


Marc Cohen, MD
11 months ago

It is difficult to fill in the area under the eyes.  Many people choose to have fat injected in the hollows under the eyelids.  This is appealing because it has the chance of being a "permanent" correction.  The problem is that fat is living tissue.  In order for it to last it needs a good blood supply.  That usually is not a problem around the eyes.  However if any portion of fat does not stay completely healthy, with a good blood supply, it either shrinks or becomes firm.  If that happens in any of the fat under your eyes you can see lumps and bumps.  This is because the eyelids are very thin and the tissues "telegraph" through the thin eyelid skin.

If you had bumps after 6 months, it was reasonable to have them removed, through a blepharoplasty type operation.  At this point you should wait about 3 months before you make any decisions about the quality of the results.  If there is still some irregularities in the contour of your eyelids, these could then be treated with Restylane which has the advantage of being adjustable if there are any problems in the future.

 

3 of 3 found this helpful
Helpful?
Post your question

Fat transfer: 29 reviews

27% said it was worth it

Fat transfer before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.