Can I Reverse Fat Grafting to my Cheeks After 6 Years? What about ATX-101?
Doctor Answers 12
How to reverse fat grafting
Over the last decade fat grafting has become a much more popular procedure. In the right hands it can be an excellent way to add volume to the face or other parts of the body. Unfortunately the survival of the fat is variable and in your case it sounds like too much survived (rarely the problem). Micro lipo with a very small cannula is probably the most precise method for fat removal. Any injectable agent is going to have a variable result and ATX-101 is not yet FDA approved. I recommend that you try the lipo procedure again.
Daniel Medalie MD
Reversing Fat Transfer
This is a good question.
Fat transfer can be reversed in the right surgeon's hands. This is a complicated subject due to the nature of the procedure. Many surgeons feel the need to over inject fat to get a better result. In doing so, the areas tend to look over filled and distort the face. The injected fat lives and becomes an integral part of the facial structure. When this occurs, the patient usually feels his/her face is too heavy or too full. This can be reversed in most cases.
Each case is individualized and discussed in detail. I utilize two different approaches. The 1st is a conservative approach with micro-liposuction. This is a procedure performed under local anesthesia with minimal downtime. This gives an improvement and the goal is to restore facial symmetry. The fat is removed and swelling resolves rather quickly. The second approach is a surgical approach. The surgical approach is via a face lift incision which allows access to the injected fat. The fat can be visualized in this approach and removed directly. This is a preferred approach in some cases due to the nature of the transfer.
I have utilized both approaches for removal successfully for great results. The goal is to restore symmetry and facial features.
Kybella is the new Non Surgical removal of Fat and this is being used as well. It is not exact and is a blind injection into the area. It can be successful but will take several treatments. I do not recommend this approach because it is not exact. I hope this helps. Good Luck
Kybella for the cheeks?
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