Reversing fat transfer results?

Three days ago, I had Liposuction done on my hips and back area. Then, at the same time, I had a fat transfer (graft) into my cheeks and folds of my nose area (which I really didn't have).

After three days, I still look like miss piggy. I look distorted, and I don't even look like myself. I had full natural lips which now look thinner, and the corners now go downward. I have a tiny nose which now goes up in the air, and fullness in the middle of my face. I'm very disturbed by the results. I was told I would look normal in 4-5 days, but I don't see how in two days i'll look like myself.

Is it possible to have the fat transfer removed or reversed? Is there a procedure that can melt or dissolve the fat in my face? The plastic surgeon also said he added more because a lot of it will dissolve. Will it really dissolve, and how long will it take? I'm desperate to have my pretty little features back. Help!

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12 answers to “Reversing fat transfer results?”

A: Please be patient

Richard P. Rand, MD

Only a few days after surgery, you are maximally swollen and really won't know what the final results of the fat injection will be until 3 months have passed. By that time, you will probably be much happier than you are right now. Best to wait and see! Good luck!

A: Some good news!

Robert M. Freund, MD

Fat injections when done well is a great technique for volume replacement. The way you had it done, by taking your own fat by liposuction is a common technique that kills the majority of fat cells being introduced. Thus, the fat cells die and the doctor has to overfill the area. In your case the fat should... more

A: Wait it out

Samson Lee, MD

Unfortunately it is way too early to tell if you've had too much fat injected. I tell all of my patients to expect at least 3 weeks for 90% of the swelling go away, and 6 weeks to really tell what the result will be. The nice thing about fat augmentation is that its natural and can last a very long period of... more

A: Fat transfer results

Steven H. Williams, MD

I agree with Dr. Moelleken in that time is an important part of your progress. When you posted this question you were three days out. You were likely at the peak of your swelling at that point. The swelling should begin to resolve and you should begin to see differences at 2-4 weeks. The final result will... more

A: Swelling after facial fat grafts may last months

Daniel Reichner, MD

When fat grafting the face, it can take months for the swelling to go down. After 6 to 12 months, if you still have significant swelling or lumps, I would recommend micro-liposuction of the fat grafted areas. Micro-liposuction involves very small suction tubes (much smaller than the normal liposuction... more

A: Do not panic! You are only three days from facial fat grafting.

Stephen A. Goldstein, MD

Lawoman: Do not panic! You are only three days from facial fat grafting. Of all the facial surgical procedures I perform, I see more facial swelling and bruising following fat grafting. This is due to the number of passes of the blunt needle that is required to distribute the grafted fat cells evenly into... more

A: Too early to tell about your final fat transfer results

Philip Young, MD

Three days is way too early to tell what you are going to look like. Fat grafting, depending on the technique that you use, creates a lot of manipulation to the tissues. This is a consequence of having to layer the fat into multiple separate layers in order to help the fat survive. This manipulation can... more

A: Postoperative swelling

Brent Moelleken, MD

Three days after any procedure is far too soon to assess any results.  Fat injections do typically reduce greatly over time, often altogether.  No doubt your doctor has told you about cold packs and elevation, and waiting it out until the swelling from surgery reduces.  If the swelling is... more

A: Fat Transfer

Trevor M. Born, MD

It has been a good period of time since your treatment. Most of the swelling should have resolved. Ultrasound, oral prednisone, Homeopathic medications and topical Traumeel can help with swelling.  If the area is still full, then I would consider micro-liposuction or dilute steroid injections, depending... more

A: Don't dispair, time will help

D.J. Verret, MD

Time will help your problem. This early after your procedure you likely have some amount of swelling which remains. In addition, a certain amount of the fat will absorb, more in areas of the face which are highly animated such as the lips. Unfortunately this will take time. I would agree with Dr. Freund that I... more

Comments

Megan03
3 posts
20 Jan 2009

I had scar revision performed along with pearl fat grafting. The pearl fat graft was becuase i have a specific area underneath the scar that was raised above the rest of my skin. So my doctor was supose to excise the fat from the puffy area and put under the scar where it was slightly indented. I do think that the scar will come out much better but my cheek is still puffy where the fat was supose to be excised. Im afraid that he did not remove enough to make a differance because while the rest of my scar is healing nicely the puffiness is still prominent in that small area. Is there a way to remove the fat in that part of my cheek without causing more scaring and how long will it take to know if the fat was successfully removed from my previous surgery.Thank you

michhy
24 posts
26 Jan 2009

Fat taken from my inner knee at age 22 has lasted on my face well over 10 years. I was overfilled and have had numerous attempts at removing it.It can be very difficult to remove if it is deep in the muscle and not easy to localize.

Marita Hanson Skin Magic Ltd
unregistered guest

28 Feb 2009

There is an easer way to get red of fat transfer injections than liposuction or surgery.Call me and I let you know how it can be done.

beckies
27 posts
11 Mar 2009

yes, get thermage it, or many lasers melt the fat under the face. want to mention there should not be much swelling after fat injection wasn't for me.

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