Can eye bags from fat transfer be corrected through Blepharoplasty?

I am 25 years old and I have had fat injections under my eyes about 3 months ago. I had hollowness and dark circles around my eyes, and my plastic surgeon suggested a fat injection. However, I found that the fat has lumped and the dark circles are still visible. It now looks like a have bags under my eyes. I'm really not happy with the results of the procedure and I want to know if it can be corrected by transconjuctival blepharoplasty. However, I don't want all the fat to be taken out because I have found that my eyes aren't as dry as they used to be before the fat transfer.

I am really worried about the bags under my eyes. It makes me look tired and I am really conscious about it. Please give me some advice. Thank you.

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16 answers to “Can eye bags from fat transfer be...”

A: Bags under the eyes at the age of 25

By William Portuese, MD - Seattle Facial Plastic Surgeon

The bags under the eyes at age of 25 are probably more related to allergies and/or hereditary pigmentation issues. As there is very little fat present in the lower eyelids at this age, it is very difficult to remove any fat that has been placed in the orbital sockets completely. Bags underneath the eyelids... more

A: Bags after fat injections

By Steven Wallach, MD - Manhattan Plastic Surgeon

Tough question. It is hard to tell without examining you. But, some of the bags you are complaining about may be residual swelling. If you have lumps from the fat injections, you might want to remove the fat directly through very small incisions on the lower lid. Dark circles are usually either shadows or due... more

A: The correction may ultimately take time

By Andrew Miller, MD - New Jersey Facial Plastic Surgeon

Tuscany, I would not rush in too quickly to try and remove fat as that can cause more swelling. For the next three months you should massage the lumps as this can often redistribute the fat. If there are specific lumps after 6 months, then they can be reduced with transconjunctival fat removal,... more

A: Yes Surgery and Laser Lipolysis can be helpful

By Richard Gentile, MD - Cleveland Facial Plastic Surgeon

The Contour of the lids can be improved with lower eyelid surgery or laser lipolysis. We are one of the few pracitces to have extensive experience with endo laser surgey of the eyes, face, forehead and neck. These smartlifting techniques help to balance the contour irregularities. Your should... more

A: Fat contouring and redraping of existing fat pocket

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

The fat injected could be contoured and the existing fat redraped to give a youthful appearance. It is a very technical procedure and a good knowldge of the anatomy is necessary.

A: Infra Orbital Fat Transfer Correction

By Daniel Reichner, MD - Orange County Plastic Surgeon

Tuscany Regarding the dark circles - filling the depressions under the eyes does not normally correct these circles unless they are created by shadows. Regarding the bags - The most important information needed to correct your problem (under eye bags and lumps) is to determine exactly where... more

A: Yes - eyebags can be corrected

By Robert M. Jensen, MD - Medford Plastic Surgeon

Fat that has been grafted into the lower eyelid area can be removed through a blepharoplasty approach. It may require a standard approach, through an external incision. I would try to find a plastic surgeon who has delt with this problem before.

A: You can likely be helped, but go to an expert

By David Shafer, MD - Manhattan Plastic Surgeon

Tuscany, Operations around the eye can be complicated, especially if you have already had other procedures affecting the tissues (fat grafting / injectables). You can likely be helped, but it is important that you go to someone with experience. It would help if you would post a picture so we could give you... more

A: Fat transfer lumps under the eyes can be corrected with transconjunctival blepharoplasty

By Brooke R. Seckel, MD - Boston Plastic Surgeon

Tuscany, Yours is a common problem following fat injection to correct dark circles under the eyes. I would wait another 2-3 months for the fat to be less prominent and would recommend massage of the lumps to hopefully improve the appearance. I use a transconjunctival laser incision on the inside of the lower... more

A: Fat transfer bags tricky, but can be corrected

By George J. Beraka, MD - Manhattan Plastic Surgeon

To Tuscany, 1) Don't have any revisional surgery for 6 months. Some of the injected fat may atrophy. Consult with an oculoplastic surgeon. 2) This revisional surgery is technically very demanding. The injected fat needs to be identified and sculpted without creating internal scar tissue. All... more

More answers to Can eye bags from fat transfer be corrected through Blepharoplasty?
Los Angeles - You will benefit with a personal consultation with an eye...
Marietta - Maybe, but depends on how lumpy the eyelids are
New York City - Fat injections are excellent for filling eye area, if done...
Orange County - Over-corrected fat graft can be treated
Santa Barbara - Lumpiness after fat injection

Comments

aliu
109 posts
6 Feb 2009

Hi Tuscany, Fat transfer is a growing trend for lower eyelid/midface correction. I use fat transfer as well but I prefer to place the fat into the areas I'm treating under a direct surgical approach rather than injecting. I'm not too sure in what plane your surgeon injected the fat in. If it is deeper into the orbital area, then a transconjunctival blepharoplasty might be able to get to the placed fat. Typically with fat injections, surgeons tend to stay in the sub-skin area. I recently treated 3 patients who had fat injected into their eyelids from 5 years to 1 year ago. I was able to reduce the amount of fat in those areas with some steroid injections. I would recommend a very conservative amount and using a stronger concentration as a very small volume will be injected. There unfortunately are also complications with steroid injections around the eyelid region. Reported cases of blindness have occured from injecting the steroid medication into small arteries around the eyelid that go into the eye. Hopefully your surgeon knows what area of the eyelid he/she injected the fat. Based upon location you have different options to improve the appearance. I hope this helps!