Removing Fat Injections Under Eyes?

Although things haven't changed much over your recovery, 4 months is still early in your healing. Aspiration is a good first start in trying to resolve this complicated problem.In this early period the contours may be camouflaged with hyaluronic acid fillers such as restylane. This will potentially improve the appearance of the area and allow further healing with possible further resorption of the fat.I would wait for 6 months to 1 year before proceeding with a surgical intervention to remove and recontour the lower lid fat.

Fat injection under the eyes is a great treatment if done for the right reasons and with the right technique. Hyaluronidase and aspiration is unlikely to help with lumps although it is good to try conservative techniques first. I would recommend injecting Kenelog into the areas of fatty excess and giving that 6 weeks or so. If that still doesn't work then the fat may resolve in 9 months to a year. Other than that the only solution is to remove the fat nodules with direct surgical excision.

Fat transfer to the lower lids can be very difficult and the problem that you have is not uncommon. Hyaluronidase will not work on this tissue. Sometimes it can be crushed to break up the fat, and sometimes it may need to be excised.