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Can Fat Injected at Temples Be Smoothed or Removed?

Fat was injected into my temples to hide veins showing through my skin. The result is multiple, sizable lumps around my eyes. My doctor told me to stroke the lumps, but this has had no smoothing effect. It's been two years now . . . is there any way to smooth them to have them safely and successfully removed? They are hideous.

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15 Doctor Answers | Asked by Honolulu7527 in Honolulu, HI

Doctor Answers (15)
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Smoothing Fat Lumps

There are a couple of options to help with your problems: Microliposuction may be of benefit in the fat transfer areas. Additional fat injection to smooth the area. Steroid injection to cause atrophy of the fat. I would suggest talking with a facial plastic surgeon who has experience with fat injections to determine if these are applicable to your situation.

D.J. Verret, MD

3 reviews

Dallas Facial Plastic Surgeon

innovationsfps.com

You can smooth these fat collections in the temple with a number of different techniques

You can smooth these fat collections in the temple with a number of different techniques. The options include steroid injections, mesotherapy, microliposuction, direct excision, more fat grafting to add around the lumps to camouflage the fat collections. Mesotherapy is a way of dissolving the fat with the use of certain agents. Steroids can be injected into the collection to dissolve it. Microliposuction is the use of cannulas to accurately suction the collection... more

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

Lumps after fat injection

Hello - sorry to hear about your problem. There are a couple of choices that occur to me: 1) try to remove the fat, either through a direct incision (like a cyst removal), or thru liposuction 2) try to melt the fat - steroid injection 3) try to disguise the lump by layering other products nearby. I'd start with #2. Best wishes,

Fat transfer to temple areas

In my view liposuction with fine cannula will help to remove some fat and subsequently few shots of steroid injection done judiciously may help to reduce the problem.

Lumps of fat after fat grafts

If your lumps are large then possibly small cannula liposuction may help but it probably won't remove it all and you will still have some lumpy irregularity. Excision may leaves scars and indentations, not to mention considerable temporary bruising. Injecting corticosteroid may thin the fat but has a risk of over thinning and creating changes in the coloration of the skin. There may be no perfect solution to your problem, so it may be worthwhile not treating all of them until a test... more

Lumpy Fat Injections

If you have not already had them surgically removed, it will take excisions to remove the lumps. Microliposuction could help but is inconsistent with producing smooth results. I would have to assume your procedure was done with traditional fat grafting that did not use the microcannulas that are now available and that do not produce such lumpiness. All the massage/stroking in the world is not going to remove them at this point as they are considered viable grafts. ... more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Lumpy fat transfers following fat grafting injections to temples

Microcannula liposuction could perhaps be used to extract fat or at least cause significant distortion to soften the appearance of the lumps.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Best Way to Treat Fat Transfer Lumps and Bumps

Aloha, Sorry to hear about your misfortune with fat grafting. Unfortunately all the "stroking" in the world will not help the bumps two years after your procedure. Fat that is present 6 months after fat transfer is yours for the rest of your life. And by all means, do not gain excessive weight or that fat will really pop out. It takes either surgical removal, microliposuction, micro-laser lypolysis, or added other filler to hide the bumps to correct your... more

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Lumps after Fat Transfer or Fat Injection to Temples

Fat transfer or fat grafting is a common procedure performed by plastic surgeons and usually has a high patient-satisfaction rate. However, reabsorption of some fat or hard lumps can sometimes happen, especially in areas where the overlying skin is very thin such (as the temporal area). Initially, treatment consists of massaging the lumps, but if there is not improvement after two years, revision fat grafting will usually correct this... more

Fat Transfers and lumps

The area can be smoothed by very gentle liposuction with tiny cannulas. Also dilute cautiously used steroid injections may offer benefit. A series of tiny dose steroid injections may be necessary. Fat transfer is a very useful procedure with benefit to many but it is often a series of treatments including the above recommended ones. Do not be discouraged. You surgeon just needs to work with you in your recovery. You can make this area smooth. Dr... more

How to treat fat lumps after fat injection.

These will need to be surgically removed by an experienced facelift surgeon. Usually these are surrounded with scar tissue and cannot be suctioned out,

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Lumps after Fat Grafting

Fat grafting should be performed using microcannulas, and requires experience for optimal results. If too much fat is injected in one spot, lumps or nodules of fat can form which may be visible. These can sometimes be removed via liposuction over the area, but may require direct excision. You should seek a consultation with an experienced facial plastic surgeon.

Roy A. David, MD

11 reviews

San Diego Facial Plastic Surgeon

Fat lumps can be alleviated with microliposculpture

Fat lumps can be alleviated with microliposculpture. Using microinstrumentation small accumulations of fat can be flattened. If defects arise thereafter they can be treated with sculptra or saline injections.

Can Fat Injected at Temples Be Smoothed or Removed?

I would try low dose phosphytil choline injections to dissolve the fatty lumps. From MIAMI Dr. darryl j. Blinski

Fat transfer to the temples

Hello and thank you for the question. At two years, I am confident that massaging the lumps will not eradicate your problem. As some of my colleagues have mentioned, the treatment will entail surgical removal of the fat via micro-suction assisted lipoplasty. Additionally, you may require steroid injections as follow-up for any residual fat that isn't removed. Best, Glenn Vallecillos, M.D., F.A.C.S.