Lower blepharoplasty with fat repositioning. How do I know if the fat repositioning is successful? (Photo)

Thank you for your question. You have been very patient with the 7 months healing process so far. I suggest that you discuss the delayed healing process, potential issues and solutions with your facial plastic surgeon. You should massage it only at the recommendation of your surgeon - at this point, the challenge may not be solvable with massage but it would take an in-person consultation to diagnosis. 
Best wishes,

Hello,
You most likely have some scar tissue or fat necrosis which has formed a hardened nodule.  I would expect it to get softer with continued observation although you have already been patient with a 7 month wait.  I would recommend a discussion with your surgeon of possible causes and options for management of this as he should have the most direct knowledge of the possible causes of this bump.  Good luck.

That may be scar tissue from the fat transposed or fat necrosis.  If it hasn't gone away by now it probably won't.  It may need to be cut out.

Not only do you have a problem with the nodule which is visible and possibly non viable fat or internal scar , but you also appear to have an issue with lower lid retraction and scleral show laterally. While it usually takes a while for these things to settle so there is room for improvement with conservative measures, 7 months is usually long enough in most cases. If things don't get better in the next 2 to 3 months I would seek several different opinions regarding having corrective surgery.  

You may have some fat necrosis or scarring after your fat repositioning that is causing the hard lump.  Discuss with your surgeon the course of action they prefer for you to treat the situation.  Good luck.  Donald R. Nunn MD  Atlanta Plastic Surgeon