2 Weeks Post Fat Graft: Should I Be Worried About Uneven Cheeks?

It has been 2 weeks since my cheeks have been fat grafted and I still look like two different people on each side. I have been hiding one side with my hair and people can notice. Will my face ever be symmetrical again? When should I be worried. Also one side has an extra lump on it. Is this a concern?

Doctor Answers 8

2 Weeks Post Fat Graft: Should I Be Worried About Uneven Cheeks?

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Physical exam is always the best when an uneveness is present.  However, 2 weeks post op from fat grafting is a very early time to assess any assymetry.  Facial edema (or swelling) is very common after fat grafting and some patients swell more than others.  The swelling can also happen more in one side than the other as it is also not uncommon for facial asymmetry to be present prior to surgery resulting in the need for more fat in one side compared to the other.  Give it some time see your surgeon regularly and the edema should subside over time.

West Palm Beach Plastic Surgeon

2 Weeks Post Fat Graft: Should I Be Worried About Uneven Cheeks?

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It is too early to rate your results at this point. You may simply have more swelling in one side which will resolve with time. Just be patient as you can always have a touch up procedure.

Uneven/asymmetrical results soon after fat transfer.

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On can often experience significant asymmetry after fat transfer especially if you started off asymmetrically and the doctor made amends for that by injecting more fat on one side than the other to compensate for such. basically the state to my patients that fat and swelling continue to dissipate for 8 to 12 weeks after surgery. Then it will be more realistic to assess any unevenness at that time.

Randal Haworth, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 56 reviews

Uneven cheeks with fat grafting

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Having some degree of asymmetry is not uncommon.  You are still early in your postoperative course.  As time progresses he will notice that the swelling will subside.  In addition, a certain amount of fat will naturally be resorbed.  At this point I would take a wait-and-see approach.  Stay in close touch with her plastic surgeon and follow his or her directions.

Fat grafting can cause swelling for several weeks

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Swelling is very typical after significant fat grafting, especially if the fat is placed in multiple layers, inclulding the muscle.  The extra lump you have might need to be revised if this is overcorrection, but it might resolve on its own if it is fluid and can even be a hematoma (blood).  Make sure to see your doctor for an evaluation.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Uneven Cheeks after Fat Grafting

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Uneven swelling will resolve and symmetry will return as long as the appropriate amount of fat and its placement was injected correctly.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Uneven cheeks after fat grafting.

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This is normal for several weeks IF the same amount was injected into both cheeks in a similar fashion.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Uneven face after fat transfer

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Without seeing your face it's hard to say if the asymmetry should be a concern. It's not uncommon for one side of the face to have a bit more swelling than the other. This should even out with time.

Check with your surgeon to make sure everything appears in order and that nothing else is going on.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.