Fat transfer over filled. Returning to work on December 26th and need this resolved. 5 days post fat transfer to face. (Photos)

Question

Most of the swelling has subsided and my cheekbones look grotesque and overly done.Fat was to be transferred to the hollows. Instead,my hollows look much more defined thanks to the fat placed over my cheekbones.I had minor pre-jowling and fat was transferred to jawline to hide this.instead the fat was placed in my jowls, now they are enlarged and look much worse. I look unrecongnizable and grotesque. My question is, is there a way to reduce fat survival?Will massage or any other technique help?

Jason Emer, MD · Answer

It is too soon to tell what your final results will be. You have swelling which can last 3-6 months after your procedure. Keep in mind, some of the fat graft will not survive. I recommend prp and Sculptra injections to help maintain results. Antihistamines, diuretics and oral steroids can help decrease swelling.  RF treatments like venus legacy and exilis can help as well but may affect the take of the fat.  Best, Dr. Emer

Mats Hagstrom, MD (license on probation) · Answer

Since a significant percentage of fat does not survive after fat transfer most plastic surgeons will over treated to some degree.

Facial fat transfer also causes a substantial amount of swelling.

This makes patients look over treated initially after the procedure.

Patients who do not have a  look of overtreatment will often be disappointed that they see no results or minimal results long-term.

It's always nice if the doctor discusses the healing and recovery phase before procedures so patients are not alarmed or overwhelmed during the early phase of recovery after fat transfer.

I highly recommend you discuss this with your treating physician and have him or her help manage your situation.

As a general statement the best thing to do is to be patient and wait to see what your final results will be.

In other words patients generally do not and should not look normal or have an aesthetic balanced attractive face immediately after facial for transfer. If they do they were most likely undertreated.

If you were my patient I would not advise you to try to manipulate early facial fat transferby any physical or other means.

At five days you are at your most swollen state.

Anticipate decrease in swelling and slow reabsorption of some of the grafted fat over the next weeks to months.

Best,

Mats Hagstrom M.D.

Omeed Memar, MD, PhD (license suspended) · Answer

I believe this is too soon to judge your results. I still see bruising in your cheek area. You will have some form of swelling for at least 4 months. I think some of the swelling is making things looks worst. Talk to your surgeon. Consider a steroid pack, and be patient.

FACIAL FAT TRANSFER PROVIDERS NEAR YOU

Fat transfer over filled. Returning to work on December 26th and need this resolved. 5 days post fat transfer to face. (Photos)

Answers (3)

FACIAL FAT TRANSFER PROVIDERS NEAR YOU