Even with careful volume augmentation of an eyelid hollowed after blepharoplasty, graft survival will vary patient to patient and so overcorrection is possible.

Some lumpiness and irregularity is commonly encountered in most patients because the thin skin of the eyelid will easily show any imperfection and, of course, previous scarring.

The feasibility of at least partial removal of substantial excess fat is related to its method of initial introduction: fat injection into the eyelid or fat grafting into the orbit.

With fat injection, removal is most difficult because the fat is distributed into and between mulitple different tissues.

While it is easy to inject fluid-like material through a needle or cannula into a readily inflatable multilayered tissue such as an eyelid (or the sponge shown above), pulling back on the plunger of the syringe once the fat has taken will not remove excess fat or filler.

Even with microliposuction, removing injected fat cells . . .