Uneven Cheeks After Lipofilling? (photo)

I have had lipofilling to my cheeks 19 days ago and one side of my face is completely different from the other. Is it because of the swelling or should I consider a revision.

Doctor Answers 4

Uneven Cheeks after Fat Grafting at 19 days

  Swelling after fat transfer can be significant, and unevenness should be evaluated at 3 months at the earliest.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

You should wait about 3 months to make that decision


Thank you for the photo.  Although I would expect much of the swelling to be gone by this time you may have a small hamatoma or seroma on one side that can make the size asymmetry more pronounced.  I would wait at least 3 months to decide on a revision.  During this time most of the swelling would have subsided, any hematoma/seroma will have improved or gone away, and the percentage of fat that has established blood supply and survived would be evident.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 165 reviews

Lipofilling unevenness

Dear Kalam, it's too early to take a call as unevenness following a Lipofilling can occur. A percentage of the fat injected gets resorbed. It would be ideal to wait for at least 4-6 months before deciding on the further course of action / revision.

Uneven Cheeks

I would definitely wait a few more weeks before considering any revision.  Uneven swelling is common after liposuction and fat injections.  I have my patients wait at least a few months before considering a revision.

Robert Kratschmer, MD
Houston Plastic Surgeon
4.5 out of 5 stars 36 reviews

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