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Fat injections into the skin of the lower eyelid can be removed usually with simple excision under local anesthesia. It appears that the fat injection was simply too superficial in the skin. The skin of the lower eyelid is thin, so fat injections are harder to hide there than they are in thicker parts of the face and body. John Standefer MD
I have never injected into the skin after doing thousands of fat transfers over 25 years so I have no actual experience. If you walked into my office I would first do very careful exam. From the photo it appears that the fat is in the upper dermis and just below the dermis. If that is my conclusion from the exam then I would treat a very small test spot using an ablative CO2 laser. and base more treatment based on that result.
Transferred fat can be removed just like excessive fat anywhere on the face and neck by using micro-canula liposuction. I suggest you seek a surgeon with a more artistic sense. Review before and after photos to find examples that you find results you find aesthetically pleasing.
This looks more like xanthelasma but could be fat if injected as microdroplets. I suggest you see an expert to evaluate the treatment options. Best, Dr. Emer.
Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a ...