After 15 Years Fat Injections to my Tear Troughs Are Still Lumpy and Look over Corrected. Do I Have Options for Removal?

After 15 Years Fat Injections to my Tear Troughs Are Still Lumpy and Look over Corrected. I Have Been Told by 4 Top NYC plastic surgeons they cannot remove it or minimize it...With new technology, I am not sure why it can't be reduced with laser or some kind of injection... At 55 finally I am losing more of my own fat around the injections sites and the lumps are becoming more prominent. Three years ago I had a surgeon inject filler around the lumps to try to even out the area with some success but now the filler is gone and the area looks worse...Help!

Fat in tear troughs

Thanks for your question. 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. Good luck!


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