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David Shafer, MD answers: Facial fat graft feels hard post-procedure

I had an analogous fat transfer to the upper cheeks and orbital region. The fat feels hard like a rock underneath the skin. Is this normal? Should I massage it? I can also feel uneven areas on the outmost region of the cheeks. Does hardness indicate that the fat cells died in the process? What should I expect from here?


David Shafer, MD
11 months ago
By David Shafer, MD - Manhattan Plastic Surgeon

Kung,

It is unclear from your question how long ago you had your fat grafting. If you are recently post-op, then what you are describing is normal since it is likely due to swelling and possibly deep bruising/hematomas. However, if you have long term lumps then you may have fat necrosis or excess fat injected. If you are concerned you should go back to your surgeon and they should be able to help you.

David Shafer, MD
New York City.

Web reference: http://www.RealCosmeticSurgery.com
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More answers to “Facial fat graft feels hard post-procedure”

A: Hardness can come from a lot a causes.

Robert M. Freund, MD
11 months ago
By Robert M. Freund, MD - New York City Plastic Surgeon

The hardness and lumpiness can be the result of 1) dying fat cells. 2) swollen fat cells, 3) hematomas.
Regardless of the cause, it is important to be patient in the early post-procedure period. Return to you r doctor for further evaluation.
Fat is a wonderful natural filler with little downside.

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