causing the remaining fat graft nodules to grow? I was overfilled a very long time ago. Everytime I get some of the lumps cut out-within 18 months or so the remaining lumps are bigger and distorted. I have not gainned weight. What could be causing this? This type of correction seems to never end. Something is either regenerating or turning on growth factors? Anyone else observe or experience this?
Will Removing Fat Graft by Excision Activate Stem Cells in the Remaining Graft?
Doctor Answers (7)
Growing fat graft nodules
I have not seen growing fat grafts in my office after partial excision and I can not provide you with a scientific expalanation. This creates questions about the type of fat transfererd. Was there a coincidental lipoma that was moved to the recipient site? It might be helpful to submit to a dermatopatholoigst the next specimen that is removed for analysis.
Something doesn't add up in your fat transfer experience.
I have seen fat grafts increase size when the patient gains weight or gains percentage body fat. But assuming those issues are stable, there is only one type on injection that I have known to constantly grow back, even when removed. That's silicone. I am not saying you had silicone injection, but the story is more consistent with that than anything else. Hope this helps.
Stem cell growth in fat transplants
The reality of the issue is we just don't have enough experience to know for certain what happens long term with fat transfer. Clinical experience would suggest that what you are describing just doesn't happen. However, every person is different as are their fat cells. It would be very important that you speak with someone, a board certified plastic surgeon with experience in fat transfer, to try to understand what is going on with you. Has anyone ever biopsied the fat that has been removed? It might be helpful to have that piece of information, especially in the light of this repeated recurrence. I hope this information is useful. Jon Sattler,
MD, Board Certified Plastic Surgeon, Glendora, CA.
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Fat Graft Removal
It is ironic that when we started doing fat grafting successfully in the 1980's, we were consistenly told by other physicians that these grafts don't survive. Although there is a lot we don't know about stem cells, I've never seen a patient where fullness after fat augmentation could not be corrected.
Fat transfer complications
The problem seems a little odd and I would agree with the previous surgeon that you should be examined. You might benefit from a second opinion, steroid injections, and/or direct excisions. Fat doesn't regrow once it has been removed. Also, although stem cells are touted in the media and the internet, it is still just a theory and has not been proven that stem cells are transferred along with the fat. All we know is that it does produce natural, permanent, and beautiful results.
Removing fat graft
I have not heard of this problem of remaining fat increasing in size after removing a portion of it. I would imagine that you would have temporary swelling in the area, but certainly nothing that would occur over the course of 18 months.
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