Question regarding periorbital fat grafting results 9 months post (Photo)

Question

I currently 57. I got a deep place facelift, lower skin pinch, a temporal brow lift and fat grafting last July with a very experienced surgeon. I traveled for the work and for the most part am very happy. As I've healed I see an irregularity that bothers me on my left undereye region mostly. I feel as if it's not symmetrical and kind of has a lumpish look. Looking for feedback as to what it could be and how it may be resolved. This side was much more swollen right after surgery. Thank you.

Ronald J. Edelson, MD · Answer

I’ve seen fat grafts to the eyelids cause lumps. If they don’t go away the lumps can be removed surgically through a lower lid incision under the eyelashes

Arthur Dean Jabs, MD, PhD, FACS · Answer

You are now far enough out from your surgery that any swelling should have receded. You mentioned fat grafting which I assume was in the tear trough/cheek region. This swelling may be due to the transferred fat. Light massage in the area as well as cold packs should help. Should it not it is worth a discussion with your surgeon about possible treatments with either micro liposuction or more fat grafting to smooth adjacent areas. Hyaluronidase can also be of use to help remove unwanted fat.

Best of Luck,

Dr. J

Best of Luck,

Dr. J

Michael S. Kluska, DO · Answer

For all of us, the face is not perfectly symmetrical, and you may have had some of these asymmetry prior to your surgery. That said, residual swelling, especially when you do deep plain facelift can last six months to one year. Lastly, if you had any type of facial Fat Grafting This could also result in some mild a symmetries and lumpiness. Not sure if you had had the fat pockets removed from the lower eyelids if not, that may also help smooth the transition zone from the lid to the cheek for you.

Question regarding periorbital fat grafting results 9 months post (Photo)

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