How to FIX LARGE Lump in Lip from Fat Graft by Top Doc You All Recommend for FAT TRANSFER?

Question

Fat transfer to face and lips 3 months ago. Worst experiience of my life. Face is flat with no cheek definition and now there is a lump by mouth and a rather large one in lower lip. Dr doesn't want to do anything yet (like Kenalog) and says it may still go away on its own. i have a Big event coming up in APRIL and this lump in lip is prominent. Any suggestions? I don't think its going away at all. The fat in lips is gone but not the lump. I hope you doctors stop doing this procedure-its ruining our lives

Nima Shemirani, MD · Answer

Dear RedRoxie,

	
		At 3 months post-op, a large lump can be injected with steroid
	
		Removing it through the mouth is a faster way, but you have to be a good candidate
	
		What area of the country do you live in?  We can make recommendations based on your location


	Best regards

	Nima Shemirani

Ryan Neinstein, MD, FRCSC · Answer

If it really bothers you I would do some micro liposuction or inject some steroid to try and melt it down

Thomas A. Mustoe, MD, FACS · Answer

After 3 months, the rate of reabsorption will very slow (many months), but unfortunately the treatment options are imperfect.  Steroid injections may help, but are not reliably successful, and can cause fat atrophy surrounding the area, so must be done with caution.  It is possible that a simple resection would work, but exam would be necessary, and if fat is less accessible also not a good option.

	I also have a long experience with fat grafting to the lip, and persistent lumps have never been an issue.  Rarely asymmetry does occur which can easily be corrected by additional fat.  There is substantial loss of volume after fat grafting, but patient satisfaction with a natural subtle look has been high.  Large augmentations as seen on some celebrities are not desirable, and not reliably achievable.

Kenneth Hughes, MD · Answer

Steroids may be an option, but the area may be amenable to excision through a mucosal incision.  An exam may reveal other options.  Kenneth Hughes, MD Los Angeles, CA

Toby Mayer, MD · Answer

Lip lump from fat injection may be corrected by Kenalog or excision. I doubt that the lump will go down and Kenalog may make it go down too much. I have done fat to he lips for 35 years and have not had to go back for a lump.

How to FIX LARGE Lump in Lip from Fat Graft by Top Doc You All Recommend for FAT TRANSFER?

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How to FIX LARGE Lump in Lip from Fat Graft by Top Doc You All Recommend for FAT TRANSFER?

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