Firm lump under eye after transconjunctival blepharoplasty with fat repositioning 3.5 weeks post op. Any suggestions?

This is likely localize inflammation related to the transposed fat.  This typically takes a couple of months to resolve.  If it persists more than 6 months, the issue will need to be addressed with revisional surgery.  

it is very likely that the lump you're feeling under the eye is associated with the fat transposition that was performed during your blepharoplasty. This is likely completely normal and I would agree to follow the recommendations of your surgeon.  Lumps, bumps, areas of firmness and swelling, these are all common after surgery and at three weeks you were still in the acute phase of healing. This may take several months to completely feel normal.

3 1/2 weeks postop is still early in recovery from surgery.  You are correct in being concerned, but there are things that are expected from swelling and the type of surgery you had.  Sometimes things look over corrected, so that as swelling goes down you will have the result you expected.  Everyone thinks that they will have their expected result in just a few days.  Many surgeries take months for the swelling to abate.  Be patient and express your concerns to your surgeon and follow his or her instructions.

A firm lump after fat repositioning is most likely due to some degree of fat necrosis and settling of the fat graft.  I would not find this too unusual and agree with the idea of your surgeon to give this some time... on the order of a few months...  to see if this does not soften up.  Hope this helps.J Wethe MD

Hello Bags13,What you are feeling is likely related to the fat transfer.  It could be a suture that has yet to dissolve or possibly some uneven swelling.  At 3.5 weeks this is definitely within what is to be expected.  I"d recommend you follow up with your surgeon to get his or her opinion as there are interventions that can help that firmness go away faster if needed.I hope this helps and good luck.