Extensive Swelling and Loose Skin After Lower Transjunctival Blepharoplasty and Pearl Fat, Did the Surgeon Overfill? (photo)

Postoperative swelling can last even longer than the usual 2 week period. Furthermore fat transfer survival is between 40-60% and overfilling is the rule rather than the exception.

The suture may be the cause of your irritation and once the swelling as subsided a bit more, it maybe possible to remove that suture.

See your surgeon.

That was a big surgery you had.  1. Did the surgeon graft too much fat.  From your 2 week follow up photo it sure does not look like that is the case.  Remember that not all fat survives.  It is best to judge what was achieved with volume at 4 months not 2 weeks. 2. I can still feel a slight foreign body sensation.  I recommend that you have your eye surface examined by an ophthalmologist to see if you are scratching the corneal surface.  Most likely you are having dry eye symptoms related to eyelid swelling.  3. Is there a risk of permanent fluid retention?  Sure but based on the 2 week f/u photo, it looks like with patience this will all settle down.

Stay in very close contact with your plastic surgeon and follow instructions very carefully. It is soon after surgery. One questions people should always ask is whether or not a physician will overfill.Hopefully with time the swelling will subside and tou will be pleased with the result. Fat grafting can provide beautiful, natural looking results  in the upper and lower eyelid and in almost all areas of the face, provided the fat is grated in the ideal amount and possition by a very experienced plastic surgeon

Your surgeon is right, puffiness is very common after surgery especially when fat is added and you have lax skin.  I would not do anything yet as it is still very early in the post op period.  I would follow your surgeons advice and see what happens over the next 6 weeks.  As far as the suture goes, if it is bothering you it can easily be removed .  Good luck.