Options for reducing under eye puffiness from Pearl Fat Grafting?

I had Pearl Fat Grafting to correct hollowness after lower Blepharoplasty. However, the area became puffy after the fat grafting. It has been 3 months and so far, there has been no improvement in the puffiness. I'd like to know, what are my options if the puffiness doesn't subside anymore?

Options for reducing under eye puffiness from Pearl Fat Grafting?
3 answers to “Options for reducing under eye...”

A: Consider the use of fillers

Otto Joseph Placik, MD

It would be best to wait. However, I would advise that you consider the use of fillers to the persistent tear trough and malar rim to achieve "blending" of the eyelid cheek junction. The other option is to undergo a transconjucntiival removal of the lower eyelid fat pads.  

A: Pearl grafts can be contoured or removed after 6-12 months

Brooke R. Seckel, MD

Babyjoe, I agree that you should wait 6 months as the grafts may shrink a great deal more. If after 6-12 months the Pearl Grafts are still causing puffiness, they can be contoured or partially removed. I use a transconjunctival approach using a laser incision on the inside pink portion of the lower eyelid-this... more

A: 3 months postop pearl fat grafting

Brent Moelleken, MD

Fortunately, you are 3 months postop and you have another 3 months or so to go before you see a permanent or near permanent result. You may want to talk to your surgeon about steroid injections or massage. If this were the 6-month timepoint (which it is not), the problem becomes a little more complex. In... more

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