Lumps under one eye after fat transfer & still puffy under other

At one month you are still healing and may feel some irregularities where the fat was placed.  This should soften and smooth out with time. 

Sats you are too early in the healing process to begin worrying about your final result.  Fat transfer is known to be associated with significant swelling which can last for months.  I recommend following up with your PS to be sure but your swelling will reduce as the months pass.  The lumpiness you describe could be part of the swelling or a separate issue.  Again your PS should be able to guide you through this.Good luck!

It is not uncommon to have a few lumps.  You may want to ask your surgeon about messaging the area to smooth the lumpiness.  Swelling is common for the first 1-2 months.  Most of the asymmetry will hopefully correct itself.