Does transferred fat grow more fat as I notice mine is disappearing?

Initially after a fat transfer you will look a little overcorrected due to the swelling, and the need to put in more fat than needed as some of the fat will slowly resorb.  We think that usually about 50% of it will go away in the first couple of months.  At that point you should remain pretty stable.  You can't "grow" more fat.  If you gain weight the fat that has been transferred may grow in size - but not in number of fat cells.  And over the next few years some of that fat may continue to either shrink or re-absorb.    

It is quite common that some amount of the grafted fat does not survive. This usually is seen within the first 3 months after the transfer. And the remaining grafted fat tissue will not produce new fat cells. Fat cells shrink and expand as the body loses or puts on weight. One or more touch-up sessions may be needed for desired results.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Thanks for your question! A percentage of the fat will die, and most surgeons will initially over inject to compensate for this. 'New' fat wont grow - your fat cells simply expand or shrink with the addition of 'weight'. This does mean that after fat grafting you might see more of any gained weight in your face as your fat distribution has changed to be more predominant there. Some surgeons will also over harvest and save some fat for reinjection once they can assess where you are losing more fat than desired! Best of luck! 

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.