Too much fat taken from under eyes - how can I fix this?

Thank you for sharing your question and posting your photo. You probably need lower eyelid blepharoplasty revision. See an experienced oculoplastic surgeon for detailed evaluation and proper guidance. Good luck,

It is very difficult to discuss this issue without proper preoperative photos. It is true that attempt to remove implant material with enzyme may be considered before surgery. However, it is not always successful because implant (filler) is encapsulated with scar tissue which neither enzyme nor topical corticosteroid may resolve. Direct removal of material may be needed through eyelid incision and skin only eyelid flap in some patients. Unfortunately, all of us doing lower eyelid surgery encounter this problem more frequently, in particular when treatment is done multiple times and by "injectors" who are not properly trained to deal with complications. Good luck.

At this point it is best to wait a full year to let inflammation subside and the so fat grafting. It is likely you will need to do it more than once for an optimal result but in an experienced surgeon’s hands it is an office procedure with a very low problem rate.

You may be candidate for revision lower blepharoplasty but need more detailed evaluation to determine.

Each situation is unique. Under eye fillers are powerful but also extremely hard to do well. I strongly advise you against having grafted fat placed in the under eye and cheek. These are never good and can not be adjusted. The grafted fat causes scaring in planes that need to glide. You likely have retained filler in the under eye. It is hard to remove and often very high doses of enzyme are needed. Regarding "fixing" the problem, this will very much depend on on your issues and this simply is not conveyed in a photograph or a video phone conference. These is help available to make your eyes your best feature.

Though only an exam can tell for sure, I suspect what you need is volume in the under eye area from either filler or fat. See a plastic surgeon who understands the area and is an expert in treating it.