Will I get lumps after facial fat grafting under eye and cheek area? I have a history of lipomas (Photo)

Fat grafting to the lower eyelid can be effective, but because the skin is thin, any irregularity in the graft can show as a lump or bump.  Another option would be to use a hyaluronic acid filler, such as restylane, instead.  I've had patients get 1-2 years of correction with restylane when used in the lower eyelids, and the product is more forgiving than fat.   

Properly performed the possibility of noticeable lumps following fat grafting even in thin-skinned areas is truly minimal. If you should get a lump, an experienced surgeon should be able to disperse it using a micro cannula. 

Fat grafting to the under eye area must be performed quite judiciously.  Because the tissues are so thin, a lump or bump may be visible or palpable.  Some patients are better candidates than others.  In some cases, a blepharoplasty to release and  reduced tethered fat can reduce the deformity in a reliable and safe way.