Thanks for your question.
It sounds like what you've described could be a few things including small hematomas (collections of blood) or collections of necrosing fat.
It is unlikely that these are new cysts that have sprung up in the last nine days.
"I've seen others with similar problems on the message board, and doctors suggesting to wait it out. But I don't want to "wait it out" for these things to become bigger."
This is a common feeling - you just want things to move along and that's a completely normal thing to want. But in these cases sometimes intervening (aspirating things that should go away on their own) can cause other problems.
Discuss your concerns with your surgeon. I hope this helps.
Lumpness shortly after surgery
You should address these concerns with your board certified plastic surgeon. These types of problems are common shortly after surgery but may need attention, in case aspiration / steroid injection/ etc. are warranted.
Although it seems that lumpiness after surgery is firm and won't go away, in the vast majority of patients, it does. Patients who "wait it out" and have a successful resolution are glad they did not rush back to the operating room.
In general, swelling occurs shortly after surgery because leaky capillaries are shuttling white blood cells to the area to heal the wound, and water leaks out in the process, making the tissues firm.
The healing process is never symmetrical. Wound healing is quite complex and mysterious, even now. I was never more confused about wound healing than right after I wrote a book chapter on the subject in a surgical textbook.
Hard to say what the lumps in your face represent since I did not perform you surgery. You should review this with your doctor.
Lumps may settle down in the healing process
The lumps that are being felt in the jawline are probably related to fat that was injected in that area and/or seromas. Seromas are congealed accumulations of serous fluid that tend to be hard and fibrotic but eventually settle down in the healing process. They usually take approximately two months to subside. The cyst closest to the eye will need to be addressed and surgically removed. The cyst itself has a capsule on the inside of it which has to be completely excised, otherwise it will reoccur.
Too early to tell what lumps are
As with all surgical procedures, your body takes time to heal. Even though we are living in a "gotta have it yesterday" mentality, our bodies still take time to undergo a certain healing process that can't be rushed.
I am not a big advocate of fat reinjection, because I haven't gotten consistent results. However, there are some physicians to claim to get excellent results.
The lumps could be from areas of fat deposition, they could represent lymph glands responding to the inflammation in your neck, or they could represent fibrin deposition in early scar tissue formation.
Meet with your surgeon about your concerns and ask if massage therapy will help improve the result.
Lots of temporary contour issues after surgery so be patient until you heal. Fat grafts can initially be lumpy until the inflammatory process subsides. Frequently, after the swelling subsides the lumps may still be felt, but do not cause a lump that is visible on the face.
Don't worry. Your surgeon will not let you "wait it out" if the lumps are getting larger. And, unless they are truly cysts, which is NOT at all likely, they will not grow. Listen to your surgeon tomorrow.
You are only 9 days after the procedure - no need to worry
You are only 9 days after your procedure - there is no need to worry. My advice is to leave it alone. After any procedure and especially any injections, you are bound to get localized areas of swelling. It takes several weeks for these to dissolve. You just need to be patient and, in all likelihood, you will be very happy. If you post some pictures, we may be able to give you more specific advice.
Irregularities after liposuction, fat transfer, and blepharoplasty
You have been provided with excellent advice. It really is too early to make any final predictions. I generally advise my patients to allow about 3 weeks to assess the "take" of fat grafts. With liposuction, the disrupted fat is not always completely evacuated by the suctions, and sometimes devascularized fat may remain behind. I would remain in close contact with your surgeon.
These are commom problems
I havent' yet met a patient who is willing to wait it out. So that's a normal feeling. As you know swelling is normal. However, with fat transfer the selling will be greater. In addition the fat can get infected and more impportantly can necrose. When fat dies it get hard. Nine days is really too short for fat necrosis but not for contour irregularity from the injection.
So for the luminess give it time. For the lesion on temple see your surgeon for wound care. You may need addtional antibiotics.
Steroids will help if you get unresolved lumpiness but this is way too soon for that.