Any way to reverse fat transfer to facial cheeks? 26yo male looking for solution, no matter how crazy. Want my confidence back.

Question

Had lumpy facial fillers in 2016 that had to be dissolved which left me gaunt. Then I had fat transfer to my cheeks. Since then, I've lost all my confidence. I thought volume would give extra youthfulness, but it made me look old. Now I have these chipmunk cheeks. When I'm skinnier, it looks less noticeable & I'm losing weight now to get rid of the fat. I've also tried steroid injections and kybella this year. Is micro-liposuction or a facelift to access the fat and remove it options? HELP!

Nima Shemirani, MD · Answer

Dear DH,You can use micro liposuction to remove pockets of fat that was injected into your faceIt requires an examination to see the areas you want to reduceI do not think you need a facelift access to get to the fat, and please keep in mind that the final will take up to 6 monthsBest regards,
  
Dr. Nima
  
Member, American Academy of Facial Plastic and Reconstructive Surgery
  
Board Certified Facial Plastic Surgeon
  
Board Certified in Head and Neck Surgery

Jason Emer, MD · Answer

there is really no great resolution for this. I think a lot of the issues is the lighting you are in. although I do notice enlarged cheeks.  if this truly is fat then its hard to reverse. Kybella, steroid/5fu injections, and now people are using ultherapy (numerous pulses) and morpheus (deep needling) to help tighten the area and "shrink it down."  liposuction to this are is really unsafe although there is a NEW treatment call accutite that maybe able to help.  I suggest seeing an expert. sometimes unfortunately though there is no options.  regular RF treatments with inmode forma or legacy at high energy can sometimes help.  a facelift maybe able to help with SMAS fat pad remodeling.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Facial fat grafting has a finite complication profile. In our 
office, we see patients with complications from fat grafting including 
fat necrosis, lumping, uneven distribution, asymmetry, and migration. If
 the fat is not feasible for removal, we perform targetted lipolysis or 
RF tightening to recontour the area. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the photos and question and sorry for your problem.  Liposuction may be the solution but an examination is really needed.  So go on some complimentary consultations with experts and compare recommendations after a full examination and discussion of desired resultsDr Corbin

Val Lambros, MD, FACS (retired) · Answer

You need an in person evaluation. When you see the doctor bring him/her non smiling pre injection  pictures  and an operative report stating how much fat was placed and where. Your face doesn't look so bad in the pics that you sent though vertical lighting and blurred image don't really help much. Microliposuction may be useful,

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Any way to reverse fat transfer to facial cheeks? 26yo male looking for solution, no matter how crazy. Want my confidence back.

Answers (5)

FACIAL FAT TRANSFER PROVIDERS NEAR YOU