What can be done with this fat pocket? (Photo)

Question

More that 10 years ago I had a fat transfer done for the folds on the sides of my mouth. Most of the fat has disappeared except this "bump" that remains. What can b done to remove this bump since it is no where near the area that needs the fat? Do you think that if fone properly that At a later date I could get a fat transfer?

Jason Emer, MD · Answer

I suggest a formal consult this can be camoflaged by fillers, it can be injected with kybella to remove it or liposuctioned, possibly surgically removed if it is a large lump/granuloma, or injected with steroid/5FU.  This needs a formal assessment.

Michael M. Omidi, MD, FACS · Answer

The fat can be removed with micro-liposuctioning using a syringe and an 18 gauge needle.  You can try some skin tightening afterwards such as Refirme, Titan or Thermage.  Best of luck. Dr. Michael Omidi

An in-person exam with a
board-certified plastic surgeon is the best way to assess your needs and
provide true medical advice.

Mario J. Imola, MD, DDS · Answer

There are essentially 3 options listed below in descending order of invasiveness and predictability: Direct open excision (would require a small skin incision or possibly could be accessed with an incision within the mouth, however, the latter approach would carry definite risk to the mental nerve and possible lower lip and chin numbness).Focal micro-liposuction.Off-label use of Kybella. Mario J. Imola, MD, DDS. FRCSC, FACS.

Windell C. Davis-Boutte, MD (license suspended) · Answer

I could definitely understand why you would like this addressed.  I do highly recommend a formal evaluation to clarify the cause of the lesion.  I do not think it would be easy to camouflage this with a filler, as this approach may yield an unnatural appearing cosmetic result.  It could be a focus of excess fat, scar tissue, or a granuloma, etc. Once the cause is deciphered, proper treatment can be rendered.Wishing you the best of luck!

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