I had a fat transfer to my lower eyelid to fix my under eye circles and now I have lumps and my circles are still there. What is going on and what options do I have?
The under eye circle is a very common issue caused by a fall in the top of the cheek fat which in youth blends with fullness from the lower eyelid to create cheek fullness up to the lower eyelid crease. Transferring fat to the face has become an increasingly popular treatment. Generally, this treatment is very good at restoring volume in the face. The treatment is generally very good when the transferred fat is placed in locations that possess a reasonable layer of fat to hide any irregularities created by the volume of the transferred fat. The lower eyelid in the area of the lower eyelid circle contains almost no fat compared to the adjacent cheek. This means that there is no place for the volume of the fat transfer to hide. This results in visible lumps and bumps. Correcting these has proven to be very difficult. The fat tends to be found in planes that do not correspond to standard surgical approaches. Melting the fat with steroids can lead to unpredictable fat loss. The best approach is to remove the worst of the visible fat deposits and filling around the others with the hyaluronic acid fillers like Restylane®. This approach evens out the lower eyelid irregularities and in some cases this can be effectively performed without the need to surgically remove the fat.
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- I had a fat transfer to my lower eyelid to fix my under eye circles and how I have lumps and my circles are still there. What is going on and what options do I have?
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