Lumps from blepharoplasty, neck lipo, and fat transfer?

I had liposuction on my neck, lower blepharoplasty, and fat transfer to my face and under my eyes 9 days ago. I just wanted the fat under my eyes to correct hollowness, but the doctor thought I'd look great with it transferred to cheeks, lips, etc..

I'm looking great, but during my massage, I noticed a small painful cyst right between the outer edge of my eye and temple. So then, I explored further and deeper with my hands; there are also two larger lumps (peanut sized), in the exact same spot on either side of my jawline. They don't feel cystic, they feel lumpy and flat-shaped. Also, right under my chin, I have 2 two pea-sized lumps directly across each other.

I also discovered a large inflammed-feeling asymmetrical lump on the right side of my Adam's apple that stretches all the way up under my jawline. Of most concern to me is the small cyst near my eye, and the large sore lump on my neck.

I'm hoping the lumps on both sides of my jaw and the two on the underside of my chin are just fat that will soften. Right now, the cyst by my eye is small. Is this from the liposuction or fat transfer? What if it fills up and becomes large?

I love the way my face looks and hope I wont have to have excisions. I don't want scars! I wonder if he will aspirate the cyst, but couldn't it fill up again? I've seen others with similar problems on the message board, and doctors suggesting to wait it out. But I don't want to "wait it out" for these things to become bigger. Is this normal? Any suggestions or advice before I go see the doctor tomorrow? Thanks.

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12 answers to “Lumps from blepharoplasty, neck lipo...”

A: Lumps may settle down in the healing process

William Portuese, MD

The lumps that are being felt in the jawline are probably related to fat that was injected in that area and/or seromas. Seromas are congealed accumulations of serous fluid that tend to be hard and fibrotic but eventually settle down in the healing process. They usually take approximately two months to... more

A: Too early to tell what lumps are

Joseph Perlman, MD

As with all surgical procedures, your body takes time to heal. Even though we are living in a "gotta have it yesterday" mentality, our bodies still take time to undergo a certain healing process that can't be rushed. I am not a big advocate of fat reinjection, because I haven't gotten consistent... more

A: Let yourself heal

Richard Gentile, MD

Lots of temporary contour issues after surgery so be patient until you heal. Fat grafts can initially be lumpy until the inflammatory process subsides. Frequently, after the swelling subsides the lumps may still be felt, but do not cause a lump that is visible on the face.

A: Wait it out

Kenneth R. Francis, MD

NN, Don't worry. Your surgeon will not let you "wait it out" if the lumps are getting larger. And, unless they are truly cysts, which is NOT at all likely, they will not grow. Listen to your surgeon tomorrow.

A: You are only 9 days after the procedure - no need to worry

David Shafer, MD

You are only 9 days after your procedure - there is no need to worry. My advice is to leave it alone. After any procedure and especially any injections, you are bound to get localized areas of swelling. It takes several weeks for these to dissolve. You just need to be patient and, in all likelihood, you... more

A: Irregularities after liposuction, fat transfer, and blepharoplasty

Otto Joseph Placik, MD

You have been provided with excellent advice. It really is too early to make any final predictions. I generally advise my patients to allow about 3 weeks to assess the "take" of fat grafts. With liposuction, the disrupted fat is not always completely evacuated by the suctions, and sometimes... more

A: These are commom problems

Christopher L. Hess, MD

I havent' yet met a patient who is willing to wait it out. So that's a normal feeling. As you know swelling is normal. However, with fat transfer the selling will be greater. In addition the fat can get infected and more impportantly can necrose. When fat dies it get hard. Nine days is really too short... more

A: Lumpness shortly after surgery

Brent Moelleken, MD

You should address these concerns with your board certified plastic surgeon. These types of problems are common shortly after surgery but may need attention, in case aspiration / steroid injection/ etc. are warranted. Although it seems that lumpiness after surgery is firm and won't go away, in the vast... more

A: You will get more lumps as you heal

Kenneth D. Steinsapir, MD

Dear NN You are very early in your healing from these proceudres. With any fat transfer and liposuction, the fat heals with lumpy firmness at first. This will be at its greatest between 4 and 6 weeks after the procedure. Then this resolves after this, and typically by 4 to 6 months, all of lump that are going... more

A: See your doctor now to rule out infection

Toby G. Mayer, MD

Your doctor is the best person to answer your questions. The lumps should not "grow", but as the swelling around these subsides, they may look larger. It is too soon to "do something". This usually makes matters worse and the chances are this will go away with time.

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