What are the risks associated with a second lower blepharoplasty to remove left over lateral fat?

Often the lateral fat pad can be inadequately reduced or additional fat can herniate forward. As with any lower lid surgery, the main risks would be excessive fat removal (hollowness) and lower lid retraction (very rare when done with a transconjunctival approach).

To make an assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures.
When a plastic surgeon wants to do the same thing twice, it either means that it was done insufficiently the first time or the treatment was not aimed at treating primary ideology.Aesthetics of the lower eyelid and the transition into the midface is complex.
It may be simplistic to view this as weakening of the periorbital septum or a soft tissue problem.
Often the basis is a skeletal problem that leads to desirable soft tissue positioning.
There are three distinct fat pads in the lower eyelid.
They said deep to the periorbital septum.Removing more fat may or may not be appropriate in your case.
Without pictures we can’t make an assessment.
Revision surgery is going to have more or less the same risks of complications as the first procedure.
This includes the potential of undesirable outcomes.
If you want a second opinion consultation, then I suggest you schedule that as an in person proper second opinion consultation with other providers in your community who have skill and experience.
For second opinion consultations come prepared bring with you a complete set of before and after pictures and a copy of your previous operative report.
These are all available from your current providers office if you request them.
I’m not sure what the background of your provider is but you may want to consider consulting with senior oculoplastic surgeons in your community or other plastic surgeons or facial plastic surgeons who have proven background with lower eyelid facial aesthetics.
All surgical procedures have risks involved.
Plastic surgery outcomes are generally based on patient candidacy and providers selection.
Understanding your own candidacy for any certain procedure is a fairly complex topic.
In my opinion, provider selection is best done by having multiple in person consultations with providers in your community who seem to have extensive experience with the problem you’re seeking to treat.
The more consultation that someone schedules, the more likely, they are to find the better provider for their needs.
Best,
Mats Hagstrom MD