Autologous Fat Nodules and Residual Hyaluronic Acid

Dear Dr. Liu, I have already booked my consultation for July. I would like to ask if my condition is suitable for treatment. Thank you. Many years ago, I had an unsuccessful **Autologous Fat** grafting procedure under my eyes, which resulted in noticeable **Lumps/Nodules** on both sides. I have previously received several steroid injections. Last year, I underwent a transconjunctival revision to remove some of the fat. While there has been some improvement, I still have residual lumpiness, uneven texture, and irregular shadows in the tear trough area at the junction of my lower eyelid and mid-face. Additionally, I have previously had **Autologous Fat** and **Hyaluronic Acid** fillers in my nasolabial folds and apple cheeks. I currently feel that there is filler migration or residue, which has caused unevenness in my nasolabial folds, "cat lines" (mid-cheek grooves), and mid-face contours. There is also a lump in my right nasolabial area that is suspected to be migrated filler, though I am unsure whether it is fat or **Hyaluronic Acid**. I would like to ask: for a case like mine, involving a mixture of fat and **Hyaluronic Acid** and previous revision attempts that still left behind **Lumps/Nodules** and unevenness, is it possible to use **Ultrasound-guided** examination to identify the materials, and then evaluate options such as **Pinhole Extraction**, dissolution, or other **Filler Revision** methods to improve the condition?