No easy answer; Consider fillers

Otto Joseph Placik, MD answers: Puffy and hyperpigmented under eye area after Pearl Fat Grafting

I had hollowness in my lower eyes from a Blepharoplasty that was done 1 1/2 yr ago. I went to a few doctors in NYC who said putting fat back in the lower eyes is easy, but fat grafting the eyes may look lumpy. So I started looking for doctors online, and found one who does this and he says he's a specialist in this. I had Pearl Fat Grafting done through him 2 months ago, and my eyes went from hollow to puffy. I don't like the way I look, and I don't see the puffiness going down, yet he said it takes time. He told me i also had tear trough deformity, which i noticed before he did anything. I also have hyperpigemention under my eyes, which got darker after the procedure. He said it will fade in time. The photo below shows a day pre-procedure, and 6 weeks post-procedure. This doctor always tells me "give it time", but I'm concerned because I have to go back to work soon, and I need something that can help me as soon as possible. What are my options for getting these fixed?


Otto Joseph Placik, MD
7 months ago
By Otto Joseph Placik, MD - Chicago Plastic Surgeon

There is no easy answer here.

It is possible that your fat grafts will persist and remain firm.

However, it appears that your cheeks and body rim remain untreated with relative lack of projection as discussed by Dr. Moelleken and termed the "negative vector" look.

For the most immediated option, I would advise fillers to the tear trough, infra- orbital rim, and malar eminence as experienced by Lucetted in the comments section. I would advise the use of Juvederm, but an experienced injector can do well with nearly any filler.

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