I had a facial fat transfer almost two months ago. After 1 month my face looked great with much of the wrinkles gone, but as the 2 month approaches I notice that much of the fat is disappearing. Is this normal, and will the remaining fat grow more fat?
May 14, 2019
Answer: Survival of facial fat transfer not all that grafted will survive. A certain percentage will develop capillary in growth and reestablish it as live tissue in its new location. Likewise some fat will fail to reestablish blood supply and will necrose and be absorbed. The percentage of fact that survives is highly variable and this is one of the inherent problems with this procedure. Most plastic surgeons over graft to take into consideration a certain percentage will not survive. If a higher percentage survives than anticipated people can become over treated. This is a procedure best done in multiple sessions to get precise outcomes. You will not grow new fat. Expect a gradual continued loss though the majority of fat loss has probably happened by one month. I no longer perform this procedure because of its imprecise nature. When done correctly it offers a nice alternative to temporary fillers. Best, Mats Hagstrom M.D.
Helpful
May 14, 2019
Answer: Survival of facial fat transfer not all that grafted will survive. A certain percentage will develop capillary in growth and reestablish it as live tissue in its new location. Likewise some fat will fail to reestablish blood supply and will necrose and be absorbed. The percentage of fact that survives is highly variable and this is one of the inherent problems with this procedure. Most plastic surgeons over graft to take into consideration a certain percentage will not survive. If a higher percentage survives than anticipated people can become over treated. This is a procedure best done in multiple sessions to get precise outcomes. You will not grow new fat. Expect a gradual continued loss though the majority of fat loss has probably happened by one month. I no longer perform this procedure because of its imprecise nature. When done correctly it offers a nice alternative to temporary fillers. Best, Mats Hagstrom M.D.
Helpful
