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Lumps on Nose from Fat Transfer

asked 3 years ago by Deloris in Demopolis, AL
Latest answer by Boris Volshteyn, MD, MS
Question viewed 4,097 times
Tags: lumps

I had fat transfer on my nasal folds. The right side looks very good, but the left side has somewhat a lump. What should I do to make it lay down like the right side?

13 answers to Lumps on Nose from Fat Transfer

Lumpiness after fat transfer is not an uncommon...

Lumpiness after fat transfer is not an uncommon occurence. Depending on the time since surgery, this may be expected. If the lumpiness persists for longer than expected massage or sometimes steroid injections can help to smooth things out. As always, consultation with your surgeon is important as he or she can better determine if this is normal or if you should try another treatment.

D.J. Verret, MD
Dallas Facial Plastic Surgeon

Lumps after fat injections.

It is certainly possible to get lumps after fat injections. They sometimes flatten out with time as the injected fat shrinks and atrophies. If the lumps remain after six months and are noticeable, then they can be corrected with surgery, probably using a small incision inside the nose.

George J. Beraka, MD
Manhattan Plastic Surgeon

If the procedure was recently performed( say in the past...

If the procedure was recently performed( say in the past week), often gentle massage can soften the lumps that you may feel. If it i a bit longer than that, it may be reaction to the fat injection by the surrounding tissues. This too may improve over time with massage. If it is loner than a few weeks, say a few months, then only surgical excision may help remove the lumpiness.

Steven Wallach, MD
Manhattan Plastic Surgeon

Sleep on your left cheek

Hi Deloris, Wait 4 to 8 weeks after your treatment. Massage is the best initial treatment. The area can be injected with a low dose steroid. A mini-lipo procedure can be performed in the office with a little local anesthesia. A last option would be Accent XL treatment. You should definitely discuss your options with your treating physician. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Fat transfer to the nasolabial folds can provide a very...

Fat transfer to the nasolabial folds can provide a very nice correction to this area. It's not uncommon for there to be a bit of unevenness or even lumps right after the procedure. It's important to have your surgeon address these issues for you, but usually it will resolve on its own with time and maybe a bit of massage.

Shahram Salemy, MD
Seattle Plastic Surgeon

Lumpiness after fat grafting

Having small amount of lumpiness is not abnormal after fat grafting. Because the fat does not heal evenly even in the best hands, gentle massage may be required to even out small lumps. If the fat graft placed too close to the surface of the skin it may also result in palpable or visible irregularity. The lumpiness usually goes away in several weeks to about 3 months. If it does not go away in time, more aggressive needs need to be utilized. Steroid... more

Boris Volshteyn, MD, MS
Reno Plastic Surgeon

Lumps after fat transfer

Having some minimal lumpiness after fat transfer is common. Usually if detected early, massage of the area can help smooth these out. Also, as swelling after the procedure resolves, some of the lumpiness will disappear. If the lumps persist for several months, then they will likely be permanent. A low dose steroid injection can be attempted with the understanding that some surrounding volume could potentially be lost. A more definitive procedure would be to... more

Naveen Setty, MD
Plano Plastic Surgeon

Lumps after fat transfer - Time, massage, kenalog are your best options

Lumps after fat transfer are not unusual either due to small lobules of fat that are palpable or asymmetric swelling. This will likely resolve with time. Massage can also help reduce edema and distribute the fat. Lastly, Kenalog can help this resolve but you run the risk of eliminating some of the volume that you sought in the first place. I recommend returning to your surgeon to discuss. If they are not experienced with these options seek out an experience facial plastic surgeon to help.... more

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Fat grafting to the nasolabial folds

Fat grafting to the nasolabial folds is a very effective and powerful procedure. Remember that whenever we transplanted fat to another area approximately 20% of it will melt away in time. For this reason, we always inject a little more fat than we want to remain. It sounds as if the left side of your face healed a little bit differently than the right side. At this time, there are many collections are possible. Your best bet is to visit with a board-certified plastic surgeon who is a... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Lumps after fat injection

If you desire for a lump of fat to go away you can massage the area a few times a day as well as asking your doctor to inject some Kenalog into the lumps.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Fat transfer can get lumpy

Fat transfer is injector dependant, requires care and expertise. Still fat, like any other filler, can get lumpy. If the lumps are still promenent after 3 months then they are there to stay. This can be corrected bu surgery if they are actually fat globules. If they are cysts of oil then a needle puncture is all what is needed.

Samir Shureih, MD
Baltimore Plastic Surgeon

Lumps after fat transfer are usually temporary

Lumps after fat transfer are usually temporary and due to swelling from the procedure. Over-correction is unusual. If you do have over-correction, it can be easily treated by a minor amount of fat removal from the area. Usually, most swelling should be gone by 3 months. When and if additional treatment should be considered is a clinical judgement that your plastic surgeon can make.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon

Firm areas following fat injections

It really depends on the timing. It is not uncommon to have firm areas for up to 6 weeks before they begin to soften. If it is more than 3 months and they have persisted, I would contemplate steroid injections or surgery to remove them.