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Big News on Fat Transfer Lumps: One Year, 3 Corrections Later - Atlanta, GA

UPDATED FROM filler queen

OMG, happiness is....getting rid of fat transfer...

$4,300
OMG, happiness is....getting rid of fat transfer lumps!

I went to my dermatologist (not the one who did the FT but a woman I've gone to for years) to see if she would do cortisone injections into the scar tissue or whatever that had formed under my eyes after fat transfer almost 3 years ago. She has tried different things in the past with small successes, but this time, she wanted to try exilis and really felt that it would help. I was reluctant to do it, but she's super smart, conservative and I do trust her, so the next day, I let her laser person try it. She did 5 minutes under each eye, not the standard 12 minute protocol, about 2 hours ago. I think that the scar tissue or whatever was there is gone. There could be a tiny tiny bit left but I can't really tell. Amazing. I can still feel some fat but not the hard lumps. The 2 areas do look more even, although it's hard to tell because they are still red.

Exilis supposedly melts fat. It may be too early to tell what the final result will be, but it definitely looks better than before. I am posting some pics from this morning on this thread. I posted pics from 4 months ago at http://www.realself.com/question/find-experienced-surgeon-remove-fat-transfer-in-atlanta if you want to see a comparison.

I'm not going to get overly excited because I'm a bit nausous from the FT roller coaster ride of the past 3 years, but today was a good day in the FT world, imho.

filler queen's provider

Dr B

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My results were sub par, which he refused to acknowlege. I had to go elsewehere to get corrections, and it's still not right. Try fillers first. If you like the look, go to a real plastic surgeon, not a derma plastic surgeon.

Replies (2)

please tell me who is your dermatologist & where she practice ? i have fat under my eyes from a FT. since my HUGH mistake of eye lid surgery i've been living in a nightmare HELL. please help thanks
Please give us an update! Did your fat lumps go away and/or smoothed out? I too have fat lumps that I wanted to get rid of!!
UPDATED FROM filler queen

OMG, happiness is....getting rid of fat transfer...

OMG, happiness is....getting rid of fat transfer lumps!

I went to my dermatologist (not the one who did the FT but a woman I've gone to for years) to see if she would do cortisone injections into the scar tissue or whatever that had formed under my eyes after fat transfer almost 3 years ago. She has tried different things in the past with small successes, but this time, she wanted to try exilis and really felt that it would help. I was reluctant to do it, but she's super smart, conservative and I do trust her, so the next day, I let her laser person try it. She did 5 minutes under each eye, not the standard 12 minute protocol, about 2 hours ago. I think that the scar tissue or whatever was there is gone. There could be a tiny tiny bit left but I can't really tell. Amazing. I can still feel some fat but not the hard lumps. The 2 areas do look more even, although it's hard to tell because they are still red.

Exilis supposedly melts fat. It may be too early to tell what the final result will be, but it definitely looks better than before. I am posting some pics from this morning on this thread. I posted pics from 4 months ago at http://www.realself.com/question/find-experienced-surgeon-remove-fat-transfer-in-atlanta if you want to see a comparison.

I'm not going to get overly excited because I'm a bit nausous from the FT roller coaster ride of the past 3 years, but today was a good day in the FT world, imho.

Replies (24)


Yeah Filler Queen :).    Keep us posted on long term results.  There are many who will be so happy to hear this news!  Big Hug - GFGB
Filler Queen thank you for posting! Great news! I am keeping my fingers crossed for you.

How close did your derm get to the eye area with the RF? Was she able to get really close?

Here's what I found about the elixis. I find it interesting that it's a monopolar RF device and that monopolar heats both the dermis and the subcutaneous layers (fat), rather than just the dermis itself. Maybe this is the key to successfully reducing fat with radio frequency. However elixis only mentions heating the dermis: "The rapid 2 million per second oscillations cause the molecules in your dermis to rapidly heat up."

Also, found this on the differences between monopolar & bipolar RF:

RF devices tend to market themselves as monopolar, bipolar or multipolar RF devices. Monopolar energy travels from the handpiece to a distant pole and requires a large ground electrode that is applied to the body. It penetrates up to 20mm, affecting both skin and subcutaneous fat. Bipolar energy travels from one pole on a handpiece to another, penetrating only 2mm to 4mm into the skin.
“Both work by causing bulk heating of the deep dermis,” says James Muze, vice president of development at Syneron Candela. “Bipolar uses symmetrical electrodes that can control the distribution of energy between the two and, more specifically, confine it to dermal structures when appropriate. Tripolar is a marketing term, not a scientific term. Devices with three or more poles use bipolar electrodes that switch between active pairs and inactive pairs.”
Sorry, I should've asked: was it the facial handpiece or body handpiece your derm used? I just read an answer here on real self that says the one on the body targets fat whereas the face one doesn't.
Hi Unoq, I have been following your post and fillerqueens post about overfat grafting and lumps under the eye area, I have it too, under my right eye. I was wondering if you have tried the elixis since you researched about it. I see my doctor soon, which I am not pleased with, as I have issues about my eye and he distorted my upper thigh lower butt region as well with lipo. He was only suppose to take fat from my leg. I will have to contend with that later, as my main concern is my eye, what everybody can see right now. Thanks, Juliannas1
Hi Unoq,
I'm pretty sure it was the facial handpiece. It just happens that I am going back this Friday, so I will ask her about that. As to the mono/bi/tri polarRF, I don't know, but she did put a large pad on my back to "ground" me, so it must be the monopolar rf. And she got right above the orbital bone. Felt like a hot stone treatment - very relaxing.
Hi, thanks for replying and for offering to ask your derm. Your pics do show real improvement and I've been reading up on the exilis. I am surprised that it was so painless as I've heard other ones (like ultherapy) are pretty intense and need dental block. That has to be a good thing. Did you say you had scar tissue lumps, you could feel these with your fingers right? I read that exilis uses ultrasound before RF so I might imagine that the scar tissue has responded to the ultrasound energy. Anyway, I hope you're doing well and you must be pleased!! -Q
Hi filler queen, Do you have any updates since going back to your derm? Have you noticed further deflation or have you tried the Exilis again?

Q
Hi Unoq,

I tried the ultherapy around my mouth, and the pain was unbearable. I've read that the exilis can be painful too if the technician doesn't perform it correctly and can understand how that could be true. They have to use this gel and keep the handpiece moving. If it's not moving at the right speed, it gets too hot. The girl who did mine was very experienced and did a great job.
I have palpable scar tissue right on/under the bone of the under-eye socket. It was amazing how the area felt softer and less bumpy after the exilis. I do think it looks better, but it's not completely back to normal and still looks uneven
Hi Unoq, I have been back 3 times but am not noticing any change :(
Hi, so you had 3 more treatments on the area & the others didn't improve it more?
:(

Hey Filler Queen. . .

Sorry there hasn't been more improvement, but hope you have gotten some relief.    After 19 months of ongoing corrections - and one year since my micro-lipo and last 5FU injectiong- I just had another very small injection of 5FU with a tiny, tiny bit of cortizon.  It's flattened that eye out a bit more.  I can't believe how these little strands of fat can distort your features so much.  

Amazing that after two years of hell, I'm starting to get past the "identity crisis" and recognize myself.   I can still feel some fat strands, but they are far less distorting. I am having some laser work done in a month to tighten up the undereye "festoon" that resulted from the fat procedure.  I'll continue to need Restylane to even things out.  . but I am more comfortable taking off my sunglasses these days.    Keep us posted - GFGB
ORIGINAL POST

I had fat transferred under my eyes a year ago....

I had fat transferred under my eyes a year ago. The bruising lasted for months, and to this day, I still have pigmentation problems under my eyes - I look like a football player with black grease under his eyes (not that bad, but you get the picture). The biggest problem though was the uneveness of the fat on each side. One area was higher than the other, and when I smile, the area on either side of my nose lays flat, almost like an indentation, and one side is higher than the other. The worst part? I not only still have dark circles, but now they are uneven dark circles. I looked better before.

The same doctor tried to correct the problem (for a slight discount but I still had to pay) and acted like I was exaggerating. I went to my regular dermatologist, and she agreed that it looked bad. She injected both areas (two diff occasions) with filler, which helped alot. This original doctor is very reputable and well trained in dermatological plastic surgery. He is an affable guy who flatters you to the point that you think everything is going to be just great. Another poster gave excellent advice, which is worth repeating. She said, "Don't go for the most charismatic doctor. Go for the critical perfectionist who seriously discusses the cons and takes the time to analyze your face and it's current imperfections." A second piece of advice is that if you MUST get fat transfer on your face, pay the extra money and go to a plastic surgeon.

Replies (25)

Hi filler queen -- Sorry to hear about all you've gone through trying to get this right! Do you know what's causing the pigment problems? I've never heard of that as a side effect of fat transfer before.

hi Sharon,
I'm not sure what about the fat transfer caused the pigment problems-trauma to the skin, shadows from the indentation? I do know that adding filler to it helped, and I'll be going back to the derma to get more.
I went to dr. Hopping in D.C, and had the exact problems you experienced. One year later its like I did nothing but I have darkness.
Filler queen, I think it's both.
Why isn't factual information out there. Why do we have to be disfigured and injured first to figure out our mistakes and who to avoid. How come no lawyers will even look at cosmetic surgery cases unless death or amputation is the outcome?