Lower lip fat grafting overfill, can this be repaired? (Photo)

Question

About five years ago I had fat grafting to my face and lips. The result was uneven with the lower right actually sagging. I have had people ask if I’ve had a stroke. Looking for someone who has the confidence this can be repaired.

Zoran Potparic, MD · Answer

it is very difficult to remove fat from grafted areas in particular around the mouth, without fear of injuring multiple motor and sensory nerves. Fat grafts are usually placed into multiple layers so extractions with small cannulas is always difficult and carry the risks of nerve injury, usually temporary. Hope this helps.

Mats Hagstrom, MD (license on probation) · Answer

I generally do not recommend people having facial fat transfer for a number of reasons. The procedure tends to be imprecise, unpredictable, and potentially unforgiving if patients don’t like the outcome.
To start with we need to see a complete set of proper before and after pictures to begin making the assessment.
Without knowing what you look like before the procedure, we can’t really address the exact change from the previous operation.
 if you don’t have before, and after pictures to ask your surgeon to forward the pictures they took.
Most likely attempting to even out the outcome with fillers would be my best recommendation.
I suggest relying on in person consultations for a quality assessment and better understanding of treatment options.
Best,
Mats Hagstrom, MD

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