To make an accurate assessment of the outcome of a plastic surgery procedure, we need to see proper before and after pictures. If you don’t have before and after pictures and ask your surgeon to forward the ones they took. I think the first step is to get rid of, the uneven contour most likely related to fat grafting. Facial fat grafting is inherently, unpredictable and precise and unforgiving. Most likely a direct open excision with your mobile areas of excessive fullness. Should make a big improvement. After that if you need volume restoration, I suggest you work with fillers only. Fillers unlike fat transfer are highly predictable very consistent and forgiving. Provider selection is paramount and getting consistent quality results. I suggest patients start the process by having at least five in person consultations. Do I need to consultation ask you to provider to open up their portfolio and show you their entire collection of before and after pictures. Fed transfer always make sure after pictures were taken 3 to 6 months after surgery. Early fat transfer pictures can look very impressive. I do not represent final results. Fat transfer around the orbits is very challenging work and the chance of having undesirable outcomes is high. Best, Mats Hagstrom, MD