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Has Anyone Successfully Corrected Under Eye Fat Transfer? - New York, NY

I had fat transfer under eyes in my early 20ties...

I had fat transfer under eyes in my early 20ties to plump up the hollows. It was way overdone and I have been getting cortisone shots to dissolve it and it is fine for maybe a month and then it starts growing back. Within a few months, it is all back and looks very abnormal - see pictures. I have to hide behind glasses or else... It's been almost 10 years and now I am reluctanlty considering transconjunctival blepharoplasty (or maybe 5 FU or whatever else) but can't seem to find an oculoplastic surgeon that has dealth with a reasonable amount of these cases so I am sure they are qualified in this. It could get worse AND still need shots.

Can any of you that have successfully corrected a similar problem please tell me how and who you went to? If I could get the result I get with cortisone permanently so it doesn't grow back, I would be satisfied (as per last photo). You can contact me privately or reply here. Thank you in advance. I just want my life back.

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Hi guys - I just spoke with a Dr in NJ who has used LIPOLASER to successfully correct this problem. I don't actually have this issue - but thought I'd share anyway. His site is contourchiropractic dot net - hope this helps!
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I would be very cautious about going to a chiropractor for this type of treatment. It is way out of their field & training. I can't imagine why he would be doing something like lipolaser, but my husband (who is an MD) thinks its pretty strange.
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Go anywhere you wish Notsogood - this procedure is offered in tons of locations. I don't have this issue - was merely sharing information. Best to you
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Has anyone heard about or have any direct experience with the Beverly Hills Physicians. In particular Dr. Israel and a Dr. Anous?? I am considering a consultation with them. They believe they can correct my lower eye lid FT overfill with a low bleph. But based on what I read in this blog, that doesn't seem to be a great solution. Can anyone tell me why that is? If fat got put in, why can't it be taken out?
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Haven't heard of those two.  The reason the fat is so hard to take out is because it gets caught up between several layers of tissue making it a challenge to remove especially around the delicate eye area without scarring or looking even lumpier.  Has to be smoothed over with your original fat and most peope don't have a whole lot of their own fat in that area.   It isn't just in one big chuck, it goes in as a liquid and spreads out between multiple layers.  At least that is how it was explained to me.  Hope that helps.  I have heard that Dr. Shorr is very good too, but I didn't consult with him because I thought he was a bit old for such intricate work...but that's just me and I may be way off base on that opinion.  He was recommended to me by an eye doctor in Hawaii who trained under him and he does have pretty impressive credentials.  But I went with Groth instead and don't regret the choice.
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Thanks notsogood. I am very concerned when a ps says, that they are overly confident that they can correct my problem through a lower bleph. Honestly, that probably is how it will have to be improved, but these doctors are thinking about it in the traditional sense since they have never removed ft. I think I will look into Dr. Groth. I really need an eye specialist who have dealt with these particular cases before. I was really bummed about Dr. Hoenig and pretty much begged her manager but they refused. I wonder what made him stop helping so many of us who desperately need some help. I will also check out Dr. Shorr, but like you, felt he was too old. I think he is 70!! Plus I have sent several e-mails and pictures and their office is not very responsive. My FT is overfilled, most visibly under my lower left eye. It seems superfiscal. Like the fat is just sitting on top. Sometimes I wish I would fall and get a cut there because I think the fat would just pop out. Thanks to everyone who posts here. I read it often and am glad I am not the only one out there alone suffering from the ill effects of a doctor who was overly zealous and under skilled-- not to mention had too much of an ego who felt he could do anything. Lesson learned. If I could only get improvement from where I am, I will never do ps again. The horror and trauma I suffered is not worth it. I am certain that I either had or came close to a nervous breakdown.
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I hear you about never wanting PS ever again after this experience.  That's certainly how I feel right now.  And the "nervous breakdowns"...well I've had several of those too over the past 2 years (as have many others here).   I rarely left the house the first year.  After that, it took me awhile to learn to reenter society again and be social as I was pre FT.  We certainly all understand that feeling. Had it not been for the ladies here and their support & understanding, I'm not sure I would have survived this mentally.  As to Dr. Hoenig...I believe that he simply got overwhelmed with FT cases and since there is apparently never... or rarely... a perfect fix,  he got tired of having patients that would ultimately have to settle for less than they had hoped for and perhaps while certainly feeling improved, would not be as thrilled & excited as his regular patients might be.  They were also already traumatized & damaged before they got to him...and so he was constantly facing the challenge of fixing up other PS's mistakes.  I truly do understand that after a while that must be discouraging & frustrating for a really caring PS who takes pride in his work.  I think you are correct that this is not a "traditional bleph" and does require someone who has dealt with FT issues before.  Rather its actually a removal of the added fat (or as much as they can get) and reshifting of original fat to even it out.  Not an easy task.  Be sure to come back and let us know how your consults go.  By then I will be further along and let you know if mine is still going okay.  Take care and be good to yourself.
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Thanks NSG. I definitely will. And you do the same.
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FYI - the PS who did my bad FT tried to fix his mistake by doing a bleph. He made my eyes worse by cause ptosis. I still have this problem to some degree and I am sad about it. My lumps are gone, that part looks great.
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Massry and Groth are great at fixing ptosis.
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Thank you.
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How are your eyes coming along now after your surgery with Doctor Groth? Are you relieved? Do you have your face back- at least in the eye area? I pray so. xxx
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Hi Opentohealing...not sure you were directing your question to me, but since I did have surgery by Groth the end of Jan 2013, I'll answer. The answer is...yes...and no. I can't say I'm back where I started before FT, but I am better. I was prepared before the surgery that 100% fix was highly unlikely. I think I'm at the point where this is "good enough" and have started to move on with my life. I am still having irritation in both eyes after the surgery, especially annoying in the mornings when I wake up, but usually gets better as the day progresses. My eyes are super sensitive to eye makeup...even this long after surgery, but I'm told it can take up to a year for that to go away. My right is eye is still dark underneath from the fat he removed, but I can hide that with concealer. Not pretty, but a whole lot easier to hide than the fat & lumps that were there before from the FT. Given my age, (65) I had little fat of my own to repostion once he removed the FT transfer fat & lumps. I also assume healing is much slower at my age, so hopefully most of you will recover much quicker. Bottom line is, I don't regret the surgery as it did improve things. I believe Groth is as good as they get, but he can't create a miracle for you once the damage has been done. I am, however, in a far better place than I was before the surgery. I may have him touch up one small area (a slight depression) with a temp fill like Restylane, but other than that, I'm done with dealing with this whole horrible experience with FT. I can't say I don't still have a down day or 2 when I curse the original doctor (Fadi Chahin in BevHills) who did this to me. He stole nearly 3 years of my life from me by pushing that horrible procedure on me & I still truly hate him for it. That loss was a bigger price to pay than the nearly $30,000 I have spent since trying to fix it. I don't know if I will ever be able to get past that part of it. Bottom line is...yes, I am better. Its not without problems, but I have no regrets with going to Groth and going thru with the surgery. Unfortunately he is not doing FT revisions anymore...or only on rare occasion. He simply got overwhelmed with patients who were messed up by FT and it was keeping him from his regular work. I can't blame him for the decision, but trust me I did my best to ask him to reconsider. With some time, I think he may.
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Can anyone tell me anything about Dr. Shorr? He was recommended by Dr. Hoenig's office since Dr. Hoenig is no longer doing corrective surgeries. The office staff stated that Dr. Hoenig studied under Dr. Shorr and that he is very good. I went on-line and he sounds pretty good, but I wanted to check with this forum/blog to see if anyone had any experience with him. Anyone??
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Hi JaneSt Can you tell me where you've been going for your cortesone to treat your overfilled spaces? I'm looking for someone to administer it to places on me Thanks
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I went to the original doctor who did the fat transfer in NY. Where are you located?
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I'm in Manhattan - I found the Dr you used but I'm tapped out for high consult fees right now btw - what percentage Cortisone did you guys use and how far were the injections spaced apart before you switched to the protocol you ultimately used? Thanks
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Cortisone was spaced 2 weeks apart and usually 2 or 3 were enough - then a few months later when the tissues grew back we would do it again. I also used juvederm to smooth things out at times. I did that for about 10 years with the FT doctor before I started 5 FU with Dr. Schwartz. The Cortisone concentration varied but I found that somewhere between 10-15% worked best. I would use higher percentage on the tougher areas. It's mixed with lidocaine.
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You just helped me so much JaneSt - thank you I'm actually dealing w/ the jowl area and one mass on cheek I am having it done by my ENT who is also a PSurgeon as I'd never go back to the office of the FT ever again in my life Thank you so much for the percentages. How soon after your graft did you begin the injections? I've started @ month 2 so hoping it'll actually knock it out versus having it continue to grow back... Thanks again - you know more than the Drs :) (which is often the case I've found) Cheers & am praying here...
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Well I speak from experience ;) There are two types of cortisone - one is clear and one has visible white powder and you want the latter. It's called kenalog. The clear one didn't work as well. I waited 3 months initially but on subsequent FTs I did it much sooner and yes, in your case it could kill it permanently so just for precaution - start with less and do it more times rather then get a depression. I always prefer low volume higher concentration because you don't want to put too much volume vise and have it spill around. Also, make sure you inject it toward the top of the lump rather then the bottom because in the initial few minutes it can run down a little (again low volume is better) but it won't run up. Inject it sitting up then tell him to lower the chair into a flat position so you can lay down for a few minutes and hold some pressure to avoid bruising. You should see results within two weeks - after that the improvement is minimal so then you can go get more. Good luck and let everyone know how it works for you.
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Thank you SO much Jane - Your instructions are saved on my phone now for my appt Monday I don't know the concentration he put in jowls a few days ago - but he put 2cc's in one & 3 in the one w/ more fat in it & the larger fat deposit seems smaller than the original smaller one - so my guess is, as you said, from now on out - higher concentration, low volume I also have a mass on the L side of my face - below cheekbone where it was overfilled & have not read of anyone having that brought down yet - only people being sad for decades after overfilling their cheek area I hope there is a success story for that area as well I'm going to ask him Monday when I go in if he could try a bit there & follow your instructions on being horizontal directly after for a bit so it does not migrate. Please send good thoughts he agrees to inject that site as well as I'm not crazy about an incision - although I'm sure through the cheek is a possibility -but ugh ... Ok I'll keep you posted after Monday's visit & thanks in advance for any good wishes you can send for total success at 3PM NYC time for me :)
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:)
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So, Monday (two days ago) Dr used 15% (at your suggestion) along jawline where former FD so kindly gave me jowls & a double chin - grrrrr... So far no change but it's only 48 hrs later so I'm doing best to be patient & I know you said 3 weeks is max result right? I'll go back in two to assess & re-do w/ same % or higher depending If this does not work I may try meso or lipdissolve before going back for mor surguries/canula stuff Hope for my formerly smooth jawline back ASAP - I miss it !
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Was the FT done by Mark Berman? He did EXACTLY the same with me. From a delicate little face with a perfect jaw line, he gave me jowls and pouches. Tried to square off my face, and packed in fat on the left side. Did whomever also put a half inch thickness around your eyes and brows? Micro lipo with Michael Cherukian helped remove the fat from the jaw line. He is very compassionate.
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Hi Opentoealing No actually it was a Dr in Jacksonville Beach Fla - NEVER go there I was very explicit as to what I wanted having had 7 yes of filler prior I KNOW what works But....no matter the directions & drawings he went ahead & did whatever the %&*$# he felt like Thank God I only have double chin & jowls now & a little uneavenness here & there Is Michael Cherukian in NYC by chance? I'm so tapped out at this point & miss my jawline (and backside as he destroyed my butt w/ over lipo...I"m a stunt person & fitness model & now out of work & in physical pain due his botched job) & am praying someone out there has a viable, affordable solution if cortisone does not work so I can have my face & body back at least to the way it was 60 days ago Now I have a double chin, jowls & saddle bags on thighs - none of which I had 2 months ago - thanks to The Garcia Institute If I could rate them here I would - but do not know how Actually Berman looked at my photos & (wrongly in my opinion) just said to fill in rest of jawline to match the new jowls...wtf!!! I know he's supposed to know his stuff - but seriously??? Ok rant over for this hour :) Glad you found Michael Cherukian to help you!

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