Are Fat Grafts to the Face Reversible?

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