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Fclark: Yes, the fat cells which were transferred to your lower eyelids will enlarge and shrink with weight gain or loss just like they did wherever they came from. If you lose a significant amount of weight, you may notice a reduction in the volume of transferred fat. Once you reach a stable weight you could have the procedure repeated but you must be careful not to put the weight back on as that will cause the opposite problem and can look quite un natural.Best of luck to you!
Your question about losing the fat with weight loss is a good one. The truth about fat is that when you gain or lose weight all your fat cells will gain or lose. If the amount is not too significant then you will not likely see much change. If you lose weight and think you may want more fat grafting then I would suggest you see if you can maintain that new weight for at least 6 months. It would be unfortunate to do additional fat grafting only to see it over-expand if your weight increased.
How long ago did you do your fat transfer? If you lose a significant amount of weight you may notice that the transferred fat may decrease. However with modest weight loss you should be fine. Similarly people who gain a lot of weight may have enlargement of the transferred fat to the face.
Swelling after a BBL is normal and this may make the area feel firm. However, fat necrosis can also be very firm and no one here can be sure what is going on without an exam. You should see your plastic surgeon for an examination and to be sure.
Release of the tethered tissue with fat grafting may be a reasonable option, but an exam is always best to make this evaluation.Kenneth Hughes, MDLos Angeles, CA
While flushing is a common side-effect of niacin (which can be minimized with the extended-release preparations), I am not aware of any data showing that niacin or other vitamins are bad for fat grafting patients. So you can take niacin if you wish.The main issue we worry about is too much...
After liposuction a compression garment is recommended for six weeks. This helps control swelling and fluid collection. It is going to be tough to return to work after two weeks. It will not be very lucrative dancing in a garment.
Ice packs immediately to the area grafted can lead to freezing of the grafts and eventual loss. 3-6 months after the surgery the grafts are healed and ice packs to the area do not have a negative affect on them.Earl Stephenson, Jr, MD,DDS, FACS
Fat transfer to the face, breast or buttock is permanent however a certain percentage of the fat cells will die within the first few months after surgery. This can be as high as 50%, therefore, some patients will desire a second procedure to add more fat. If you mix the fat with growth factors...
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