Cheek Indents After Fat Grafting

asked 3 years ago by beckies in toronto, ontario
Latest answer by Philip Young, MD
Question viewed 1,932 times
Tags: cheeks, dents, depression

I had fat transfer, and now have indents across my cheeks. The fat goes above or below the area where it should. Is there a method to make the fat go or take in the spot where I need it? If so, I would try it. Thanks.

5 answers to Cheek Indents After Fat Grafting

We prefer nontraumatized fat-fascial grafts

Fat-fascial grafts (LiveFill) are harvested directly. They are not aspirated through a canula or injected the way fat injection grafts are. While fat injection grafts are 25% alive at the time they are harvested, LiveFill grafts are 88% alive according to our studies. We have presented the results of these studies at ASAPS and ASPS meetings, and the results appeared in Plastic and Reconstructive Surgery journal LiveFill grafts are also placed differently than fat injections. A pocket is... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

You might need a fat injection touch up

You might need a touch up to place more fat in the area that is depressed. Or you can remove the fat that is above and below which may be more difficult. You should discuss this with your surgeon. He will hold your hand so to speak through this and help you get the best results. Touch ups are usually less involved and will take less time. Sometimes the more elevated areas above and below could be due to swelling that will come down. Patience is required in this case and it may get better... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

www.drphilipyoung.com

Fat Grafting, Specialzed Technique and Tools for Best Result

Fat Grafting requires specialized training and specialized surgical instruments, as well as patience and attention to detail on the part of the surgeon. When performed properly, permanent improvements in facial plastic surgery are possible. Fat grafting has been performed by plastic surgeons for decades. There is no question that fat is the ideal material for soft tissue augmentation, and that the results obtained with fat grafting are the most natural-appearing. However, one problem... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fat grafting can have variable take

It also depends on how far you are out from the fat grafting. Early on, there still may be swelling and some of the fat may not all take. Later (after 6-8 weeks or so), the swelling should have run its course and the fat that is present should have revascularized and "taken" by then. If you are further out from the surgery, you may be a candidate for additional fat grafting or cheeklifting to smoothe out those contours. Unlike hyaluronic acid fillers that can easily be reversed... more

Leonard Lu, MD
Chicago Plastic Surgeon

Few options for fat grafting

Fat grafting is a very good technique for facial augmentation. The key technical factor is the location of the injection. If fat is injected too superficial the risk from dents is higher. To fix any new dents, few tricks could be done. 1. Wait until all the swelling is gone. If the injection is early you can massage the fat. Deeper lympahtic massage by hand or using a machine could also help. 2. Very dilute steroids injected locally could help to melt the fat.However,this has to be done... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

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