LAM FACIAL PLASTICS

Hi Dr. Lam

I'm based in South Africa. A year ago I had fat grafting to my tear troughs (i'm mid 20's, had genetically hollow eyes my whole life so this was the only area that needed filling). It worked very well, but about 10 months on the 1 eye started to lose significant fat, whereas the other looked fine. This created an unbalanced look. I went back to my plastic surgeon who said he would fill in the side that had lost fat. He filled it about a month ago, and i could see from the start that it wasnt filled consistently but decided to wait it out to see if it improved. Basically how it looks is that it seems filled just above the rim and on various parts of the rim, but there are little sections missing fat. So when i smile in particular, it almost creates a vacuum, where the parts that have fat protrude out in contrast to the little parts that are missing fat.

My question to you is can i approach my plastic surgeon about this, or does it sound like im overreacting. I don't want to seem pedantic to him, but there are clear areas with fat and without and its making these ugly pockets. The fact that its only on the one side makes it worse. I find it strange that the side that was filled a year ago is holding up better than the side that was re-filled a month ago.

But is it possible with fat grafting to touch up little areas, or does an entire contour need to be filled. And can i approach my surgeon or am i being pedantic?

Thanks for your time!

this is tough to say whether you are pedantic or not because i have no idea what you look like. sometimes things look terrible and you need them fixed. sometimes people get obsessed with things that are not fixable or warrant fixing or in fact risk creating more problems. you can fill a bit more fact selectively in skilled hands but obviously i can't just give you a blanket recommendation. sorry.
best,
sml