Is it normal for the doctor to push the fat out of the injection site with his hands?

Fat transfer or fat grafting is the process of performing liposuction and harversting the fat for contouring use instead of discarding it.  The key component of grafting fat is making sure the recipient skin area is elastic enough or undermined a little so it can stretch out during the process of filling it with fat. 


Pain after 6 weeks is something to be concerned about however your pain seems seems to be during the first day after surgery.  I try to remind my patients that despite whatever advertisements you may have heard, liposuction, after the numbing medicine has worn off, is never painless- you have passed a metal instrument under your skin a number of times!  It will hurt at some point and I would not be alarmed. 

There a variety of techniques used for fat transfer, and without observing the procedure itself, it would be hard to comment and give accurate information.  If the fat survives from 2-6 months, then you have a good chance of keeping the fat.

One day after surgery if very early to start worrying about the results.  Also, without knowing all the specifics of your surgery and seeing your pre-op photographs, it really is impossible to give you specific advice.  Typically with liposuction you can expect a moderate about of bruising and swelling which resolves over a few weeks.  During the healing process you may feel slight tingling or itching which is due to the skin healing.  If you are concerned about your recovery, I suggest that you talk with your surgeon.  Hopefully you were treated by a board certified plastic surgeon.  If not, I would suggest that you see the care of a board certified plastic surgeon in the future.  Good luck.