Fat was injected into my temples to hide veins showing through my skin. The result is multiple, sizable lumps around my eyes. My doctor told me to stroke the lumps, but this has had no smoothing effect. It's been two years now . . . is there any way to smooth them to have them safely and successfully removed? They are hideous.
Can Fat Injected at Temples Be Smoothed or Removed?
Doctor Answers 16
Fat Grafting Around Temples
It is impportant not to "overcorrect: with fat in any of the area of the face, including the temples. But, there are options available and your situation can improve. The excess fat can be removed. Ideally, a copy of your medical records including your operative report could be available to the plastic surgeon making the correction so they know exactly what has been done. I'm sure this is very very frustrating, but stay positive. Find a plastic surgeon with extensive with facial fat grafting and the correction and revision of fat grafting procedures.
Smoothing Fat Lumps
There are a couple of options to help with your problems:
- Microliposuction may be of benefit in the fat transfer areas.
- Additional fat injection to smooth the area.
- Steroid injection to cause atrophy of the fat.
I would suggest talking with a facial plastic surgeon who has experience with fat injections to determine if these are applicable to your situation.
You can smooth these fat collections in the temple with a number of different techniques
You can smooth these fat collections in the temple with a number of different techniques. The options include steroid injections, mesotherapy, microliposuction, direct excision, more fat grafting to add around the lumps to camouflage the fat collections. Mesotherapy is a way of dissolving the fat with the use of certain agents. Steroids can be injected into the collection to dissolve it. Microliposuction is the use of cannulas to accurately suction the collection away. The last resort is to make an incision right above the collection and excising or taking the fat out directly.
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Lumps after fat injection
Hello - sorry to hear about your problem.
There are a couple of choices that occur to me:
1) try to remove the fat, either through a direct incision (like a cyst removal), or thru liposuction
2) try to melt the fat - steroid injection
3) try to disguise the lump by layering other products nearby.
I'd start with #2.
Fat transfer to temple areas
In my view liposuction with fine cannula will help to remove some fat and subsequently few shots of steroid injection done judiciously may help to reduce the problem.
Lumps of fat after fat grafts
If your lumps are large then possibly small cannula liposuction may help but it probably won't remove it all and you will still have some lumpy irregularity. Excision may leaves scars and indentations, not to mention considerable temporary bruising. Injecting corticosteroid may thin the fat but has a risk of over thinning and creating changes in the coloration of the skin. There may be no perfect solution to your problem, so it may be worthwhile not treating all of them until a test area is treated with whichever modality and await its result prior to deciding if all should be treated that way.
Lumpy Fat Injections
If you have not already had them surgically removed, it will take excisions to remove the lumps. Microliposuction could help but is inconsistent with producing smooth results. I would have to assume your procedure was done with traditional fat grafting that did not use the microcannulas that are now available and that do not produce such lumpiness. All the massage/stroking in the world is not going to remove them at this point as they are considered viable grafts. Mesotherapy could be considered as a non-invasive way of trying to diminish them but you should thoroughly discuss the poential risks of pursuing that. I hope by now that you have found a solution to your problems... Aloha from a Maui Boy.
Lumpy fat transfers following fat grafting injections to temples
Microcannula liposuction could perhaps be used to extract fat or at least cause significant distortion to soften the appearance of the lumps.
Best Way to Treat Fat Transfer Lumps and Bumps
Sorry to hear about your misfortune with fat grafting. Unfortunately all the "stroking" in the world will not help the bumps two years after your procedure. Fat that is present 6 months after fat transfer is yours for the rest of your life. And by all means, do not gain excessive weight or that fat will really pop out. It takes either surgical removal, microliposuction, micro-laser lypolysis, or added other filler to hide the bumps to correct your problem. Good luck and be well.
Lumps after Fat Transfer or Fat Injection to Temples
Fat transfer or fat grafting is a common procedure performed by plastic surgeons and usually has a high patient-satisfaction rate. However, reabsorption of some fat or hard lumps can sometimes happen, especially in areas where the overlying skin is very thin such (as the temporal area). Initially, treatment consists of massaging the lumps, but if there is not improvement after two years, revision fat grafting will usually correct this problem. Revision fat grafting consists of redistributing the fat with small cannulas, possible liposuction with very small cannulas, and repeat fat grafting to areas of concavity.
Jaime Perez M.D.
Fat Transfer Specialist, Tampa, Florida
Plastic Surgery Center of Tampa