American Society of Plastic Surgeons
For Medical Professionals
one year ago

Lower eyelid surgery and cheek fat transfer

I’ve had a lower eyelid surgery and a fat transfer to my cheeks. I did not have this puffiness under my eye before the surgery. I am well over 6 months out and it is like some sort of vein that can move under the skin when touched. What is this? It is only on one side. The doctor said it’s just inflammation. I feel like I look worse than before.

Procedure: Eyelid Surgery
Location: Tinley Park, IL

Replies 4

Damian Havriliak
ASPS Surgeon

Your surgeon might consider corticosteroid injection to soften the thickened area which maybe fat necrosis. This can happen with fat injections and not unusual.

In addition I would also recommend massage of the area daily.

Andrew Kornstein
ASPS Surgeon

Did you have a visible (deep) groove preop where the “inflammation” is now??

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Kenneth Francis
ASPS Surgeon

Dear aj,

Without an exam it's a little difficult to be sure, but it is likely a ribbon of fat that is creating the roll, or "some sort of vein." This sometimes happens with fat transfer to the lower lids, and is what makes the procedure delicate. Massaging sometimes helps. If it doesn't, your surgeon might consider a very light cortisone injection. I have had some success with microliposuction for the scenario. If none of these are effective, sometimes it needs to be surgically removed. Good luck!

Tanongsak Panyawirunroj
ASPS Int. Surgeon
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It's not easily to tell from only photos without physical examination but fat necrosis after fat transfer can cause inflammation, you can try streriod injection to reduce inflammation and softening the lumping area and warm compression with gentel massage will be helpful.


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