There are other ways to help this issue

Philip Young, 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?


Philip Young, MD
7 months ago

Lumps and Bumps can happen without almost anything that you do when you manipulate the tissues. When they are around the eyes, it's pretty hard to mask their appearance. I can appreciate the concerns. There are many things that can be done to help this.

First, steroid injections can help by causing some of the fat to be dissolved by the body through the action of the steroids. There are risks with the use of steroids so you should be aware of these before undergoing these injections. This course may take several injections, and it may take a couple of months for the steroids to fully work.

The other option is to actually make an incision and take the fat out.

The third option is to actually carry out micro liposuction to take the fat away. Going to someone with a lot of experience with fat grafting can help avoid some of these issues, but even the best will have some lumps.

Fat grafting is a very complicated process for the surgeon and there a lot of steps that go into this procedure. Each step can affect the survival of the fat which can lead to lumps because some cells survive and some cells don't. The more reliable the process you have the better chance you will get even survival of the fat and hence a better result. Its all in the technique!

Consulting a Board Certified Facial Plastic Surgeon would be something that I recommend. We specialize in the face and are highly qualified to help you with this.

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