Had Fat Grafting go wrong so tried to deflate it will Hyaluronic Acid now it looks even worse. What should I do? (photos)

The lower lids are a tough place for fat injections.  They can work out great, but every once in a while you can get a nodule.  Steroid injections may help.  It sounds like they wanted to smooth out the area with HA so you wouldn't see the fat nodule.  This may work.  You are quite swollen at one day post injection.  You need to let the swelling resolve to see how it will look.  If not what you hoped for, will need to go in surgically and take out the fat.  

It is always best to contact the surgeon who did the procedure first of all.Things will improve.  With time alone things will most definitely improve. So be patient.There are a few good options left.#1 micro-direct-precise liposuction#2 lower lid blepharoplasty with fat manipulation - this option is a bit more invasive but can correct  this issue no doubt.Hope this helps.Best of luck,DrC

For complications related to this particular procedure, I would suggest an in person consultation with a hyperaesthetic and Board Certified Plastic Surgeon to advise you with the best treatment option to provide the best results.

Best Regards,

Randal Haworth, MD

For a complicated issue like this, you need in person examination with experienced oculoplastic surgeon. See following link and video too. You might benefit from lower blepharoplasty.

I have used fat grafting for over 35 years. I injected in lips and hands and find it very good in those two locations. I do not eject it into the  Area around the Eye because often it leaves a lump such as what you have. In my experience these require surgery to remove and cannot be  dissolved with steroids which often make it worse. See a very experienced surgeon for fat removal. 

Injections of any kind can cause swelling. This should resolve in 1-2 weeks. I recommend sculptra and prp injections to maintain results of the fat grafting.  Hyaluronidase can be used to reverse the HA filler.  See an expert. Best, Dr. Emer

Injection of fat around the eyelid area is very tricky and has to be done with extreme care and by someone who is very good and experienced with fat injection.  It is often done along the tear trough area.  The fat has to be placed deep adjacent to the bone.  The same is true for injection of fillers in this area.   I prefer to use hyauronic acid products as this can be easily removed if the desired effect is not achieved using Hyauronidase.  Often the result should be under corrected as products such as Juvederm is highly hydrophilic and swells a bit after inject.