Unfortunately need to wait at least 6 months

Min S. Ahn, 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?


Min S. Ahn, MD
10 months ago

It is generally believed that after fat transfer you won't get a sense of what fat will have survived the procedure until the 6 month mark. At that point, if more needs to be placed, or some needs to be diminished, appropriate steps can be performed.

Just by your pics it's hard to know if removing fat or adding more to the area below the puffiness would be appropriate. So unfortunately, waiting is your best option.

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