Even though five weeks can feel like a long time, the body needs time to heal and reshape itself. For fat transfer, it usually takes 3-4 months before swelling goes away. Most patients also eventually reabsorb half of the transferred fat, so you will need to be patient.
It appears you have swelling and if this is still there after 12 weeks i would consider treatment to improve this. Best, Dr. Emer.
Dear BenjiIt takes 3-4 months to see the final and settled result.... be patient. Fat grafting to the lower eyelids, teartrough is challenging and as it is not forgiving has a higher risk of prolonged healing and bumpiness. Fillers are an excellent option for use in this area for both correcting the original deformity of helping temporary camouflage with fat grafting if needed.
Eyelid skin and soft tissues is very fine and swells easily with any procedure that is done to or around the area. At 5 weeks there is still a very small residual of the swelling so there will be a subtle change in appearance over the next couple of months with the final settling in. I tell my patients the absolute final results will be at 3 to 4 months.