Are Fat Grafts to the Face Reversible?

Fat grafts are difficult to reverse. Options include excision, liposuction, laser lipolysis, steroid injection, radiofrequency or ultrasound ablation or even mesotherapy. First gve it 6 months prior to intervening

Much of your fat injections may reabsorb on their own. That's the problem with fat injections. There is no guarantee that they will live. If there is one focal area that needs to be reduced, then a small amount of corticosteroid can help, but there are risks and it should not be used when there is a generalized fullness that could be lessened as the risks would not be warranted. It may be that you will see an improvment in the next couple of weeks. Try to be patient and wait for the improvement as attempts to reduce the fat can cause irreversible problems.

Anytime a fat graft is performed, it can take up to 6 months or more before the fat is done changing, lysing, and taking hold.  Some patients only have 50% of the fat left at 6 months, while others have all of it left.  It is hard to predict how much will remain, since the fat needs a good blood supply to live, and sometimes the areas that it is injected to just doesn't have the capacity to keep all of the injected fat viable.  Since you are only 6 weeks out, be patient.  At the 6 monthmark, if you are still unhappy, then I would address it with your surgeon.  I hope this helps.

Cranberry,

Sorry about this outcome.  Fortunately (or unfortunately), only a portion of transferred fat survives following this procedure.  You may be witnessing residual swelling following this procedure that will hopefully resolve entirely within the next few months, if you are fortunate. Studies regarding fat grafting suggest that survival is from minimal up to 70% in its new home.  I believe it is less than 50%.  Thankfully, most procedures in plastic surgery are reversible in the hands of a competent surgeon.  Give it time.  If it doesn't resolve, first contact your physician and voice your concerns.  If you are unhappy with the options presented, see another doctor or two.  Microlipo may be an option depending on the location of the fat.  The face is extremely vascular and highly innervated, so any corrective action taken here must be performed with extreme caution.  Good luck!

Hi Cranberry (or is it Pear),

Fat grafts are not reversible. Hopefully after 5 to 6 months your fat grafts will settle down.  It is most unfortunate when there is miscommunication between patient and surgeon, and more unfortunate if as you stated a surgeon decides what they think is best for the patient despite the patient requesting something different.  Your problem emphasizes the importance of choosing your treating physician most carefully, a physician whom you can trust to honor your desires.  At this point all that you can do is wait for the next few months to see where things settle.  There are other fillers such as Sculptra that can be used in the "skinny" top part of your face to help bring your face into harmony.  I wish you well.

Dr. P