Do not panic! You are only three days from facial fat grafting.

Stephen A. Goldstein, MD answers: Reversing fat transfer results?

Three days ago, I had Liposuction done on my hips and back area. Then, at the same time, I had a fat transfer (graft) into my cheeks and folds of my nose area (which I really didn't have).

After three days, I still look like miss piggy. I look distorted, and I don't even look like myself. I had full natural lips which now look thinner, and the corners now go downward. I have a tiny nose which now goes up in the air, and fullness in the middle of my face. I'm very disturbed by the results. I was told I would look normal in 4-5 days, but I don't see how in two days i'll look like myself.

Is it possible to have the fat transfer removed or reversed? Is there a procedure that can melt or dissolve the fat in my face? The plastic surgeon also said he added more because a lot of it will dissolve. Will it really dissolve, and how long will it take? I'm desperate to have my pretty little features back. Help!


Stephen A. Goldstein, MD
11 months ago

Lawoman:

Do not panic! You are only three days from facial fat grafting. Of all the facial surgical procedures I perform, I see more facial swelling and bruising following fat grafting. This is due to the number of passes of the blunt needle that is required to distribute the grafted fat cells evenly into the facial tissue.

Be patient…keep your head elevated on a couple of pillows and continue to ice. It is most imperative that you continue to stay in contact and be seen by your treating physician. You may wish to inquire about various medication that you can take to help alleviate the bruising and swelling.

In general, I would not consider removing the fat this early post-operatively. Keep in mind that only 35-40% of the fat graft will survive.

Thanks for your question.

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