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Steven Wallach, 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?


Steven Wallach, MD
11 months ago

The firmness from after the fat injections to the lower lids was the fat that was injected.  The skin of the lower lids is very thin and unfortunately, sometimes the grafts become palpable.  I can't answer you about whether or not you made a mistake to have undergone bleph 2 days ago, because I don't know what you started out needing.  Now, all you can do is wait it out and heal and see how things turn out.

Steven Wallach, MD

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A: The eyes have it again

Kenneth R. Francis, MD
11 months ago

Luls,

Lumpiness can occur in the lower lid tear trough area after fat injection to correct hollowing.  Removal may require a surgical procedure such as blepharoplasty, done through a transconjunctival (inside the eyelid) or skin incision approach depending on the depth of the fat injected.  This would be the most effective way of addressing the problem.  Don't lose hope.  You may still have a very happy ending.  Good luck!

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