Excess Fat Grafting Under Eye/Malar Area. Shows when I Smile and Makes my Face More Uneven. Can an Excision Be Made?

It's 20 days since i've done a lateral canthopexy and malar fat grafting, took from my own body. Besides the eyes looking as they did before surgery (droopy and sad) now there's excess fat on the right side of my face in the malar area.it looks horrible and it shows even more when i smile. My plastic surgeon is a disaster and i wont think he'll do or have the capabilities to do better and remove the fat, what can i do now?what are my options?

Doctor Answers 4

Cosmetic Surgery is an Art and a Science

With only 20 days since surgery,I would not consider any surgery. Some of the fat will resorb over the next few months. Give yourself some time to heal and keep in touch with your surgeon .

Denver Plastic Surgeon
5.0 out of 5 stars 10 reviews

Be patient

Fat grafting results are still in flux this early after surgery. The fat will likely still evolve/atrophy over a few more weeks. At about 3 months time you can more objectively evaluate the results.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

Fat transfer to the eyes

Dear PollyBeak,

  • It is still very early in the healing process and it is common to swell asymmetrically
  • Give it another several weeks (6 or so) and things will improve
  • If there is still excess fat, it can be removed with steroid injections, microliposuction or excision
  • Feel free to send pictures if you would like me to take a look

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews

20 Days after Facial Fat Grafting

    Give the result some time to develop.  At 20 days you will likely lose additional volume.  I would wait 3 months and then you have a couple of options.  If amenable to microcannula liposuction, that is one.  The second would be direct excision from a lower eyelid approach.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

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.