Can repositioned fat pads on cheekbones be removed? (Photos)

Question

My doctor repositioned all of my fat pads onto my cheek bones. I did not need this and was never hollow, I simply had small herniated medial fat pads. I now look puffy constantly due to being overfilled and my smile is now not natural looking. I used to have distinction between my cheek bone and eye lid. Not only did my eye shape change from this surgery but my smile now is altered. Can the repositioned fat be removed in the future after fully healed?

Zoran Potparic, MD · Answer

It is possible to go back through the same incision on lower eyelid and trim some of the redundant fat. Based on your set of before photos, you have achieved improvement, but this can be furthered refined  with procedure discussed. Hope this helps. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Baseline before and after pictures are generally best taken without facial expression. with the contraction of muscles or facial expression the facial contour changes significantly. The impact of muscles a facial expression should not be incorporated when making surgical decisions.
You only show one neutral picture and that is your before picture. Based on that transposition of your lower eyelid fat pads seems very appropriate. I think your results are fairly typical for the procedure.
Without the procedure he would continue to have advancing premature aging with worsening of the Laxcity of your Peri orbital septum with further bulging of your lower eyelids. Your teardrop or mad face was also very hollow and could use augmentation.
Without a complete set of before and after pictures(without facial expression) we can’t really make a good assessment.
Follow up with your provider or have in person second opinion consultations. For a second opinion consultations bring it with you all of your before and after pictures. If you don’t have all before and after pictures and ask your surgeon to forward the ones they took.
It’s also a good idea to bring a copy of your operative report for any second opinion consultations.
Well perhaps not the best or ideal outcome it looks like an improvement to me.
Best,
Mats Hagstrom MD

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