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Surgical Correction of Puffy Eyes After Pearl Fat Grafting? (photo)

I had Pearl Fat Grafting for hollowness under both eye lids from a Blepharoplasty done 2 years ago. Now, 6 months after pearl grafts, still no change and eyes are still puffy. I already had 2 surgeries from the inside of the eyes. How can I reduce or dissolve or have some removed? Is another surgery an option for me?

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4 Doctor Answers | Asked by Babyjoe

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Prominent globe and hypoplastic cheeks

The unique appearance of your face is characterized by somewhat flat cheeks and a very prominent globe. This is a very difficult situation aesthetically. The risk of repeat surgery to the lower eyelid is high, so each step must be carefully taken. Our best bet is usually to combine a cheeklift performed through a minimal incision on the side of the eye, along with volume increasing grafts in the cheek area. While implants are an option, we prefer LiveFill grafts (nontraumatized... more

Continued puffy lower eyelids after fat grafting

In my experience the full effects of fat grafting isn't realized until about 18 months after surgery. From 6 months after surgery on you can find that the grafted fat slowly 'blossoms' as the new blood supply takes hold. I would probably avoid any revision procedure until at least 1 year after surgery in order to get an idea if any further improvement will occur. Fat graft take is very technique dependent and can vary widely among surgeons. Your facial bone structure is... more

How to fix puffy eyes after fat grafting

Fat grafting is a very powerful and effective technique when used around the eyes. In this area body, a small amount of fat will go a very very long way. It is possible that you may have had a little too much fat added to these areas. You may consider additional fat grafting to help camouflage them.

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Fat transfer or Restylane may help under eyes.

Hi. 1) I am afraid you have a really difficult problem and need expert evaluation. You have under eye hollows and flat cheek bones. Expertly done fat transfer with or without a mid facelift may help. 2) Non invasive treatments may include Restylane for the hollows and Radiesse to build up your cheek bones. 3) Don't have anymore eyelid surgery. Too risky.

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