This patient presents repeated episodes of lymphatic oedema after a lipostructure in the peri-ocular area 13 years ago. In the record of the operation by the primary surgeon, the amount of fat that has been placed was 5 cc along the inferior rim and 3 cc in the vaso-labial fold.
There was a palpable excess of fat and a variable lymphatic oedema. Her surgeon tried a liposuction to reduce the volume without any success. Since then, nothing was done.
A treatment by mechanical stimulation (LPG) was tried, and an improvement of the oedema was obtained. Unfortunately, the result didn't last with time.