Am I confusing fat with swelling?

Your concern is common and it is too early to appreciate a result. Swelling after liposuction can persist for months and it is not uncommon to appear larger during this time. You should consult with your surgeon to make sure you are doing the appropriate post-operative therapies in order to maximize your result. 

At only one month post operative you are early in the healing process. Allow yourself a full 3 months before final results. Numbness can last anywhere from weeks to several months. Regards, 

Thank you for your picture and questions. Being only one month out from surgery, I think it is too early to be critical of your final result. The areas of liposuction should continue to improve with time. Unfortunately, the same may be true for the areas where the fat was grafted. As the fat grafts settle and the swelling improves, these areas will likely only decrease in size. So if you are unhappy with the areas where the fat was grafted, then you should discuss this with your plastic surgeon. Good luck!