First round totally disappeared. Second round still here, but with big dent

OK. Five years later... Glad I did the Bleph and fat transfer. Both look great. Two "buts":
1. I still have this fat indent on my cheek/eye trough area that looks bad.
2. He had to repair his first job on the bleph which was not so good, leaving drooping eye skin on the inner corners.

So, I had to go back to Dr. Karam for a redo one year later as every single cell of fat seemed to have disappeared (I think even he would admit this) and there was a fairly deep trench under one eye that curved down into the cheek into a dent. It looks like one eye has an eye bag and when I smile there is a big indentation in the apple of the cheek. The second round did seem to inflate the cheeks a lot, but the eye trench/bag and cheek dent are still there and a bit more prominent. The upper bleph that he did also needed to be redone as the incision he did led to mini bags of skin drooping down on the inside of the eyes near the nose. He fixed this to my satisfaction, but it was head scratchingly sloppy in the first place.

Karam did the redo, but when I sent the photo a few weeks ago of the eye trench and cheek dent, he basically said he hoped I found something good about my fat transfer and if I want to fill the dent I should pay a local doctor to fill it in with Restalyne. He said his definition of success was increased volume, which I have. My definition of success is not looking in the mirror and seeing a giant dent in my cheek and bag under my eye that wasn't there before. I was hoping to look better, not worse. I think that is a reasonable expectation of plastic surgery.

So, it is like here is the beautiful Rolls Royce you just paid full price for... sorry it has a huge dent in the car door. I hope you see the good in driving a Rolls at some point, even though I rammed into something before I delivered it.

I think you can't put yourself out as this world expert on fat transfer with these incredible results and that it people fly in from all over to see you, but then say, essentially, "best of luck to you" when there is a problem with your work. He is a nice guy, but who cares if you get a heart sinking feeling every time you look in the morror. My eye and cheek look like crap and either I have to live with it for the rest of my life, or go to someone else to fix it.

So, I am 7 months out and the results are not good. Under my eyes is kind of lumpy and discolored. The cheeks and temple changes are virtually undetectable. The upper bleph is fine.

Still pretty bummed.