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The success of a fat transfer is highly dependent on the blood supply of the recipient site.The blood supply and venous drainage of the anke make it a less than optimal location for a fat graft procedure.
The likelihood of a fat graft take in the ankles is similar to that of skin graft take in the ankle.It is not the fact that blood supply is poor, but that there is increased venous pressure in the area due to the distance from the ankles to the heart.If you want success in a fat graft, the same postoperative care as in a skin graft applies, to wit:A) Continuous Leg elevation above the level of the heart for 1 weekB) After 1 week, ambulation with compression stockings or specialized wraps until the graft is mature (3-4 weeks)
Fat transfer to the ankles is a difficult procedure, and patient selection is the key. Consult with three board certified plastic surgeons experienced and expert in fat transfer to understand your options. Costs for fat transfer like other cosmetic surgery varies considerably across thecountry and even in the same area. South Florida tends to have lower fees thenmore expensive areas such as New York or Los Angeles. We charge starting at $1000 + MDAnesthesia related costs (if needed) for fat transfer. Since you can get quality workat lower costs, patients will travel from throughout the state, the country,and internationally to have surgery in South Florida. To ensure that you are receiving quality work with personalized care at themost cost effective prices, consult with board certified plastic surgeons thatown their own nationally accredited facilities. The quality must be maintainedat the highest level to maintain accreditation. The surgeons also haveincentive to hire and train quality staff (to ensure that surgery is efficientand enjoyable), to ensure comfortable and private facilities (to encouragereferral), and to eliminate waste (to ensure that these facilities can competeeffectively).
The hard lump is not uncommon and can be due to inflammation. Fat is important for many things in the body among them: keeping the body from losing heat, serving as a lubricant of sorts for muscles to move, cushioning the body, etc. This lump is not out of the ordinary with inflammation...
It will certainly take longer than 12 days for the fat swelling to resolve. Furthermore, unless the technique was the Viafill system, a large amount of the fat will resolve and go away. So be patient. It will get better.
Risks of fat transfer include all the basic risks associated with any surgical procedure, plus risk that are specific to fat transfer and liposuction. These include increased risk of deep venous thrombosis and pulmonary emboli, fat emboli, fat necrosis, skin contour irregularity, asymmetry...