In 2003, I received fat injections into my tear troughs. Been lumpy since; I need to find a doctor to help?
Doctor Answers 6
Fat transfer to the tear trough area can result in lumpiness.
The causes of the lumpiness can be many. The lumpiness could be due to inflammatory response, or fat necrosis, cysts, or too much fat deposited in one area.
Treatment is direct excision. However the unknown in this surgery is to determine where those fat lumps are? Above the muscle? below the muscle. That can only be determined during the surgery.
Areas of depression where the lumps are removed can happen requiring the need for further repair either during the surgery or after.
This requires expertise in lower lid blepharoplasty techniques
Evening out Bumpy Fat Under Eyes
The best way to even out bumpy fat under the eyes, Is to heat the fat with an ND:YAG laser. There are several commercial variations of the 1064nm Nd:YAG laser available. We have quite a range of these devices to use in our practice and we tailor the treatment device to the specific problem.
Fat Transfer, Final Results? TEMPLES / FACE / EYES
Lumps and bumps after fat transfer should be evaluated, this may need surgical revision for improvement. RF treatments can help. Best, Dr. Emer.
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Lumpiness after Fat Grafting to the Tear Troughs
Without an exam or, at least, a picture is is impossible to discuss what you need. There are 2 options. First, you could have had the tear troughs corrected but gotten lumps in the area. If this is the case, the treatment is to remove the lumps which are areas of scar within the grafted area where some of the fat died but was not absorbed. The second and most likely option is that a lot of the fat resorbed and left lumpiness where it did not resorb. If this is the case, you should still have a tear trough. Treatment, therefore, is further fat graft to fill in between the lumps and to completely correct the tear trough. Make sure you see a plastic surgeon with significant experience in fat grafting and facial rejuvenation.
Removal of grafted fat
Hello and thank you for your question. I am sorry to hear about your bad experience. I have seen this before and have successfully treated it with removal of the grafted fat via a transconjunctival approach. The most important aspect
is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.