I had fat transfer under my eyes/top of cheeks 2 years ago with terrible results. The area is uneven& lumpy, with hard little beads underneath. There are zillions of plastic surgeons in Atlanta. I thought the one I went to was skilled, but he ruined my face. I met w/ a top ps here. He thought the area looked "freaky" but would only recommend filler on the outer side to even things up. How do I find a ps w/ fat trans experience? What are the best options that won't make it worse?
What Are My Options For Fat Transfer Removal From Face? (photo)
Doctor Answers 7
Remove unwanted fat from procedure with steroid injection
I would recommend one or more injections of very low concentration of cortisosteroid. These injections can have the side effect of fat atrophy or dissolving. I would start at low concentration and do injections as needed to achieve the desired effect.
Fat transfer to the lower eyelids
I can understand that this would cause you great upset. Fat transfer to the lower eyelids may result in visible lumpiness and I prefer not to offer this to patients. By contrast, fat transfer to the cheeks is a much more dependable procedure. Consideration should be given to correction of the contour irregularity by a transconjunctival approach.
Fat transfer to lower eyelids and cheeks
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Unfortunately after two years you can assume that additional time will not help your situation. Options to inject a medication to dissolve some of the fat (like a steroid or some of the poorly supported products used with "mesotherapy") are not a predictable solution. So you are left with direct surgical removal, or camouflage. I would suggest you see someone reputable in Atlanta, like Dr Beaty who posted below, to get a responsible and honest evaluation of your situation. It's a difficult situation with limited complication-free solutions.
Fat transfer removal.
Removal of fat around the eyes usually requires a blepharoplasty surgical approach since the fat is usually encased in scar tissue and the area is quite unforgiving of irregularities. Unfortunately I have seen many patients who have this and I do not put fat there unless done with a blepharoplasty. See a surgeon who has experience removing fat from this area.
Improving Irregular Contour Following Fat Grafting
The injected fat causing abnormal contour of your lower eyelid margin and cheeks will not improve 2 years after surgery. It is difficult to remove the excess fat with steroid injections and needle aspiration. The best technique is to surgically remove the fat through a lower eyelid incision.
Options for fat transfer improvement
Your photos do show an uneven result and you appear to be overaugmented as well. After two years there is no way to remove transferred fat. Your best options will be to smooth the contour of this area and help it blend with the surrounding tissue. An in person consultation would be necessary to determine which options might work best for you. It is likely that fillers will be at least part of the solution, as you have been advised.
Best of luck!