Bakersfield Fat Transfer doctors
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Edmund Fisher, MD
Los Angeles Facial Plastic Surgeon
1555 Vine St Studio 16, Hollywood |
2 answers | |
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Peter Ashjian, MD
Bakersfield Plastic Surgeon
1560 East Chevy Chase Suite 255, Glendale |
1 answer | |
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James Knoetgen, III, MD
Bakersfield Plastic Surgeon
4850 Commerce Dr., Bakersfield |
Recent Answers
I have an upcoming TT/lipo of thighs scheduled. I have been getting Juvederm injections around nasolabial folds for almost two years and had Radiesse injection around cheekbones once over a year ago. I am almost 40 yrs old. I am considering doing fat transfer. Will I get similar results to Juvederm/Radiesse? Are there potential issues I should be concerned about?
I would especially recommend trying fat transfer in your case because you are already getting the fat taken out, don't waste it! Be advised that fat has to be overfilled, so your face will be swollen for several weeks. It also may not all survive so you might still need to get fillers injected in the future. Uncommonly nodules or other visible or palpable irregularities may occur with fat injection.
Undereye fat transfer: Is it better to undergo local liposuction or moderate kenalog injection to reduce unevenness in a fat transfer procedure?
In cases like this, it is of course more helpful to see a photo; exam in person is key for appreciating the 3D contours. Nevertheless, it would be more reasonable to start with a dilute kenalog injection to correct nodularity after fat transfer. Risks include dermal depression and thinning if injected too superficially, as well as telangectasia (broken blood vessels visible on skin). If there is too much fat in an aesthetically unappealing area, then direct surgical excision is best, although a needle could be tried first with a syringe by hand, if that's what you mean by "local liposuction".
I am 3 months post fat graft removal by excision. However, I now have some hard lump in the area where fat used to be. Should I get steroid or 5-FU on this lump to help the remaining protrusion? Does anybody know a doctor in LA who specializes in this?
There could be many reasons for the hardness after fat graft removal, such as inflammation, fat necrosis, hematoma, residual fat graft, or scar tissue. Three months is a fair amount of time, but I would wait longer (approximately 6 months) before trying steroids or 5-FU. You can try massaging the area to help soften up the hardness. I would like to have more information about the fat grafting. 1) What is the location of the original fat grafting? 2) What was the reason for the original fat grafting? 3) How was the fat harvested? 4) Was the fat injected or placed directly in the area? 5) What was the reason why the fat graft was removed?
The cause of the hardness can be better determined if the above questions are answered. If the reason is scar tissue, then dilute steroid injections might soften up the hardness. I would also caution that if the original reason for the fat graft was a contour abnormality, then steroid injections might worsen the deformity or cause an indentation secondary to atrophy of tissue.
A proper physical examination by a plastic surgeon who performs fat grafting would be appropriate. However, if the hardness is not painful and does not bother you much, then I recommend waiting for another 3-4 months.