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After 15 Years Fat Injections to my Tear Troughs Are Still Lumpy and Look over Corrected. Do I Have Options for Removal?
Fat injection in the tear troughs can cause contour deformity - exactly what you're describing. The issue with fat transfer here is that the skin in this area is very thin and the distance between the skin and the bone is relatively short. This means that injection contour can sometimes be seen through the skin. Sometimes this fat can be directly excised as part of a lower lid blepharoplasty or through micro liposuction to try to debulk the area. Typically more injections don't make things better. Find experts in the area. Syd Coleman has a great deal of experience in facial fat grafting and would be a useful consultation.
Clinical Context
Removing or reducing over-grafted fat from the tear trough area is a specialized procedure, often done through direct excision or targeted liposuction, sometimes combined with lower eyelid surgery. Results depend heavily on individual anatomy, how the fat has settled over time, and the surgeon's experience with this specific area. Because every case looks different, it's hard to predict the exact outcome in advance. Choosing a surgeon experienced in facial fat grafting and revision is one of the most important factors in getting a good result.
