How to reverse fat grafting
Over the last decade fat grafting has become a much more popular procedure. In the right hands it can be an excellent way to add volume to the face or other parts of the body. Unfortunately the survival of the fat is variable and in your case it sounds like too much survived (rarely the problem). Micro lipo with a very small cannula is probably the most precise method for fat removal. Any injectable agent is going to have a variable result and ATX-101 is not yet FDA approved. I recommend that you try the lipo procedure again.
Daniel Medalie MD
Liposuction vs Kybella
Thank you for your question. I would recommend that you visit with a plastic surgeon who can discuss you whether liposuction of the cheeks would be an option versus filling around the cheeks to allow for a more balanced volume distribution in the face. I would not recommend Kybella at this time given the vital structures in the cheek that can be affected.
Kybella is not a good idea for cheeks
I am sorry to hear that you are unhappy with your fat grafting results. Unfortunately, Kybella would not be a good idea in the cheeks for two reasons: first, it may damage your facial nerve, which would affect the movements of your face and second, it may remove too much fat from your cheeks giving you the opposite problem from what you are dealing with now. Microliposuction is the most precise way to address this issue. Best of luck!
ATX-101 and Fat Grafting
ATX-101 or Kybella addresses the submental fullness, which is sometimes referred to as "double chin," in one 15- to 20-minute in-office treatment session. Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of your face by destroying the fat cells that sit beneath your chin. I suggest consulting with a board certified facial plastic surgeon to receive the highest quality knowledge, care, treatment and results.
Kyballa Post Fat Transfer
This maybe a potential use for this medication in the future. For now it is FDA approved for the submental area and the safety hasnt been evaluated for use in other areas. I use 5fu/steroid injections to reverse any fat transfer irregularities or issues. Fractional or deep RF help to smoothen out tissue as well. I suggest seeing a cosmetic dermatologist with experience in body shaping and fat transfer. Best, Dr. Emer.
Uses for Kybella
I am at the American Society of Aesthetic Plastic Surgeons meeting in Montreal right now and just had a long discussion with the Kybella people. They will reveal the costs in 2 months but it will be comparable to the cost of chin liposuction. They do not have FDA approval or studies for use anywhere else on the face. It will be widely available in July or August. Can't wait!
ATX 101 for the double chin - newly approved by the FDA
ATX 101 is a very exciting product that has been FDA cleared for the double chin. As of this writing, it is not yet available for clinical use.
In its initial application, ATX 101 is only going to be used for the double chin and not for any other areas.
We don’t have all the answers with ATX-101
Thanks for the
question, and as of now we don’t have all the answers with ATX-101. It appears
you have had some issues with your fat grafting – I am sorry for this. We
always recommend you have these procedures performed by board-certified
dermatologists or plastic surgeons who are the most skilled in these
ATX has the
potential to be a real blockbuster in our aesthetic field – we need to
understand that the approval for it will be the double chin area, and anything
else that we treat with it will be considered off-label use of ATX. While
physicians can use any drug in an off-label fashion (that makes sense), we have
no data on how this might work in your particular problem.