Too Much Fat Injected During Transfer-looking Distorted and Freakish?

Thank you for submitting your question and photo. It would be nice to see a before and after photos to compare.  The swelling can be asymmetrical and can last for several months. Final results take 6 months. Discuss your concerns with your Plastic Surgeon. Best wishes.

Dear Blondie,


The combination of the 2 procedure definitely causes prolonged swelling

Also, the fat will resorb as it heals

I can feel how it is hard to wait, but please be more patient

Once the face stops changing (i.e. the swelling has stabilized), then you can assess what to do next


Best regards,

Nima Shemirani
 

    The fat grafting results at one month typically do reduce.  Usually by 3 months, the results are fairly stable.

Making judgments about volume after facelift with concurrent fat injections is impossible at one month. The situation should improve substantially over the next few months as the swelling goes down and a portion of the fat graft that didn't survive is removed by the body.

Hi Blondie,

Sorry to hear about your dilemma.  Prior to fat transfer, patients need to be informed of how they may appear very swollen for a few weeks after the treamtent.

The problem with fat transfer is that it can be unpredictable even the best surgeon's hands.  That is because the amount of fat that lives or takes varies anywhere from 40% to 60%.  What is predictable is that at 5 to 6 months after your fat transfer, the fat that is still present is your fat for life, permanently.  Often fat transfer surgeons over correct due to the reabsorption after treatment, resulting in distortion.  Hopefully over the next few months your fat will settle.

Though I occasionally still use fat transfer, I find that Sculptra is much more predictable and is less likely to cause the distortion that you are describing.  I hope that your face settles well over the next few months.