Upper Eyelid Nasal Fat Pad? How can I correct the bulging in the right upper eyelid? (Photos)

Hi The slight bulge seen in one of the photos can be a number of things this early in the postoperative stage. One thing it could be is post operative swelling, so I would still give it a full year to heal first. The slight excess can be some fullness from residual skin. The goal is always improvement in plastic surgery, not perfection and it appears there may still be a small amount of skin causing the fold. The other thing it could be is residual fat in the medial pocket. This does not seem likely, as in the photo when you close your eyes the bulge can not be seen on this photograph. It would be best to undergo a full examination to get a better idea, but the likely culprit is a very small amount of extra skin.

Thank you for sharing your questions and photos. A septum is opened following eyelid surgery. Sometimes addition fat prolapses forward after the surgery is performed. Also it is appropriate for the surgeon to aim for slight under-correction of the problem in order to avoid complications related to over-correction. Your results look good. For additional fat removal see an oculoplastic surgeon who is experienced with the Agnes to remove a bit more fat.
Good luck!

This is hard to definitely say without performing a physical exam. This is some slight residual skin and some residual nasal fat pad in my professional opinion.

Thank you for your question.You had a beautiful upper eyelid surgery, it looks almost symmetrical with nice scars.All surgeries have risks of asymmetrical results. After 6 months the swelling should be gone. The bulging tissue can be a bit of skin or fat excess. I would recommend you to remove a small amount of skin and decide to remove more fat during intervention. This is again a pretty good result, you should consider to get a correction when it disturbs you too much.Best luck

Based on your photos, your right upper eyelid appears to be more swollen than your left. And since you still have some redness in your scars, this could be an indication that you are not completely healed. If you end up having a persistent asymmetry in the nasal fat area, removing this at the appropriate time is relatively straightforward. I hope this helps, and thank you for your question. Sincerely, Dr. Joseph

There are two areas of fat accumulation in the nasal area of the upper eyelid, deep one, which is frequently addressed and more superficial one underneath the muscle which may be overlooked during surgery; residual swelling/scar may also create some bulge. It would be in your best interest to let area heal properly (12 months or more) and then address this issue if bulk is still there. It is always best to discuss these issues with your surgeon and stay in good relation even when result does not look the best. Good luck.

I’m sorry you’re feeling this way – it can be really frustrating when you don’t see the results you expected.
What you’re describing could be a few things: • Residual or uneven fat – Sometimes not all the fat is removed evenly, or it can shift slightly during healing. • Swelling or scar tissue – Even at 6 months, some residual swelling or internal scarring can cause areas to appear fuller. • Excess skin – If there was more skin on one side, it might make the fat pad more noticeable.
If your surgeon doesn’t see the issue, I’d recommend getting a second opinion from another eyelid specialist. Non-surgical treatments like steroid injections can sometimes reduce swelling or scar tissue, but if it’s fat or skin-related, a small revision might be needed (which I think you need).
I hope this helps point you in the right direction!

Based on your post photos, you have residual fat as your state only treatment is re-operation. Expect these to range from $1000-$3000. Best of virtual consult with.

Dear Hopeful,
During blepharoplasty surgery symmetric amounts of fat are removed from each eye fat pad...unless there was asymmetry in the fat pad sizes pre-operatively. Your pre-operative photos would help tremendously in our assessment of your current issue. Also, 6 months is still on the early side to fully critically evaluate the results of a blepharoplasty and the bulge that you see may be residual swelling rather than residual fat pad. Continue follow up with your PS and maybe give it a few more months. Good luck!