Should I massage over my lower eyelids after fat grafting or not? (Photo)

Dear nuraysahin,Swelling under the eyes can be extreme and I would assume all that you are seeing in this photo is not fat. While your best bet is to follow what your surgeon recommended, I do think that you should gently massage to help push out the swelling and break up the fat if you are feeling lumps. Cold compresses and elevation may also still help with some swelling. It can take several months for the fat to go down so you will not appreciate the final result for some time. If there ends up being too much fat and some needs to removed it can be tricky. There is a possibility that injections may help to dissolve some of the fat, or it might require surgery. I have not had to remove excess fat in the face before, and the thought of it does make me very nervous around the eyes because of the thinness of the skin. If you think you are going to need some type of revision I would seek out an Occuloplasty surgeon with the best reputation in your area. It might be wise to establish a relationship earlier rather than later. If your surgeon has only done two (there was a point where every one of us with experience had only done two) she might appreciate the assistance of some one who has perhaps treated other patients in the same situation.Best of luck to you,

I suggest waiting 6-12 weeks and if not happy after injections consider 5FU/steroid treatment. Please consult with an experienced dermatologist for optimal results. Immediate treatment with venus legacy may help decrease swelling. Speak to your physician or a fat grafting expert immediately.  Best, Dr. Emer