Fat cut injection to the lower face, leaves dent and discolouration

Question

6 months ago i got a fat cut injection to my lower face. 10 weeks after i noticed a hypopigmented dent appear along my right jaw line. The skin felt thin and 'old'. The clinic said that this was the steroid in the fat cut, and that it would resolve. I had it filled with filler twice. However, for the past 4 months it has had blueish discolouration. It feels like the flesh attached to my jaw is gone in this spot. Why is it blue, will this go away? Photos do not do justice of its bluenes

Zoran Potparic, MD · Answer

Most likely this dent is result of fat atrophy due application of corticosteroids. The best way to correct this is injection of filler, or better fat grafts. However, you need a real expert to do this properly and avoid poor outcome. Good luck.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Mats Hagstrom, MD (license on probation) · Answer

I don’t know what fat cut injections are, but I’m guessing that you developed fat atrophy, which is a fairly rare undesirable side effect of the use of anti-inflammatory steroids.
Steroids typically do not reduce subcutaneous fat, but it can happen as a rare side effect. When it does, it’s usually quite devastating and permanently. Remove significant amounts of subcutaneous fat skeletonizing the area.
Fat transfer may be an option but the area is devoid of host tissue to support grafted fat, so low graft survival may be expected and it may take multiple rounds of fat transfer to restore the volume.
This type of work is difficult.
Best,
Mats Hagstrom, MD

Fat cut injection to the lower face, leaves dent and discolouration

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Fat cut injection to the lower face, leaves dent and discolouration

Answers (3)

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Everything you need to know about Facial Fat Transfer

Our mission is to create a world where every investment in modern beauty is Worth It.