Correct Bad Fat Transfer Results with Blepharoplasty?

Lumps and Bumps can happen without almost anything that you do when you manipulate the tissues. When they are around the eyes, it's pretty hard to mask their appearance. I can appreciate the concerns. There are many things that can be done to help this.
First, steroid injections can help by causing some of the fat to be dissolved by the body through the action of the steroids. There are risks with the use of steroids so you should be aware of these before undergoing these injections. This course may take several injections, and it may take a couple of months for the steroids to fully work.
The other option is to actually make an incision and take the fat out.
The third option is to actually carry out micro liposuction to take the fat away. Going to someone with a lot of experience with fat grafting can help avoid some of these issues, but even the best will have some lumps.
Fat grafting is a very complicated process for the surgeon and there a lot of steps that go into this procedure. Each step can affect the survival of the fat which can lead to lumps because some cells survive and some cells don't. The more reliable the process you have the better chance you will get even survival of the fat and hence a better result. Its all in the technique!
Consulting a Board Certified Facial Plastic Surgeon would be something that I recommend. We specialize in the face and are highly qualified to help you with this.

Fat transfer is a well established method of restoring volume to the face. The amount of fat survival depends on technique of harvest and injection. Technical considerations may affect volume loss, symmetry, and need for further revision.
The advice of your surgeon on the fat transfer should be heeded. Nodules arising from fat necrosis may ultimately subside or may remain permanently. If your surgeon believes they will remain permanently, the best option may be to surgically excise the lesions with a blepharoplasty type incision. Be advised that there are inherent risks associated with a surgical approach including assymetry, scar tissue, eyelid retraction, unsatisfactory results, and need for further surgery. An experienced blepharoplasty surgeon is advised.

Hi Luis,
Sorry to hear about your ordeal. I can imagine how scared and anxious you must be.
The most important thing for you to do now is to follow your post-operative instructions and stay in close touch with your treating surgeon. Panicking and searching the web two days after eye lid surgery will not help in your recovery at all. There is nothing to do at this point but heal as well as you can. Your surgeon should be able to tell you how he/she feels the operation went.
As you can see in the other answers here, after 6 months, blepharoplasty is a method of addressing lumps after fat transfer.
After a few months, if there is still a problem, then return to your surgeon for an answer, or if you prefer, consult with the best opthalmoplastic surgeon that you can find.
Try to relax, turn off the computer, and be patient. I hope that all goes well and that you heal beautifully. Be well.
Dr. P