Do I need this surgically removed or will it go away? (Photo)

I have a long hard dried piece of fat from a fat transfer in my lower eyelid surgery 1 1/2 weeks later surgery. I talked to my doctor about it and he gave me a steroid shot which didn't do anything for me...4 days after the shot, this "brick" in my eyelid is weighing me down, putting pressure on my eyeball, and giving me headaches....will this go away over time or will I need to be put to sleep again to have it surgically removed?

Doctor Answers 5

Lower lid fat

At 1 1/2 weeks after surgery, you may still have swelling of the lower lid which will resolve time but could take several months. A repeat steroid injection in a few more weeks may help as well. Another option you could discuss with your doctor would be 5 flurouracil (5FU) injections of the fat. This is an off label use of 5FU but it is known to help soften and flatten inflamed tissue and scars.


Renton Oculoplastic Surgeon
4.9 out of 5 stars 7 reviews

Swelling post fat injection

This can occur when you inject fat to the lower lids and since it's only a week and a half give it some time.Maybe a little lipo with local or a small incision and excise it.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 56 reviews

Do I need this surgically removed or will it go away?

I think at this early post op period I would just observe the area and see what happened. It is likely to settle down on its own.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
4.7 out of 5 stars 12 reviews

Will most likely resolve

Definitely would wait it out.   May be as long as 2 months before you know.  It can be removed without going under anesthesia if need be.  If it was symmetric immediately after surgery and developed a few hours laterm, it is probably due to swelling rather than uneven fat placement.

Jeffrey Marvel, MD
Nashville Facial Plastic Surgeon
4.6 out of 5 stars 42 reviews

A lump after lower lid fat grafting, would it go away?

Thanks for sharing your photos. It is early to tell if its only been a week and a half. I suggest watchful waiting as some of this could be blood and inflammation and may come down in size with time. Make sure to continue to follow up with your plastic surgeon to monitor the progress of this lump. It is possible that surgical removal may be needed but I won't rush into another surgical intervention now. I doubt that this lump from its current locations is causing any pressure on your eyeball. 

Mohammed Alghoul, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 14 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.