How Can I Remove Overfilled Lower Eyelids From Fat Injections?

Q: Dr. Eppley, I had a fat transfer under my eyes to help correct hollowness and dark circles but unfortunately, I am left with an overfilled sausage like mound under my right eye and lumps under my left eye. The mound and lumps are soft. How can the mound and lumps be removed so that the area under my eye is smooth again?

A: One of the real problems with fat injections to the lower eyelids is the unpredictability of volume retention and smoothness. The thinness of the lower eyelid tissue is very unforgiving of any contour irregularities.  To reduce overfilled lower eyelids this would require an open lower blepharoplasty to remove some of the fat transfer…or at least the largest lumps/mounds.

Dr. Barry Eppley

Indianapolis, Indiana