I generally recommend people avoided facial fat transfer, because the procedure is inherently, unpredictable, imprecise, and potentially unforgiving if people don’t like the outcome. Removing previously grafted fat from the face is inherently difficult. There are no simple solutions. Sometimes Liposuction can be done, but Liposuction cannot differentiate between native fat and grafted fat. Liposuction of the face also has some inherent risk. Just like that transfer, Liposuction results are somewhat permanent and irreversible. To start the process we need an accurate assessment. To make an assessment we need quality before and after pictures. If you don’t have proper before, and after pictures, then contact your surgeon and ask them to forward the pictures they took. Understanding where the fat was grafted and how much would be helpful. You should also ask the provider to forward their operative report or any information ailing how much fat was grafted in what areas. Finding the right provider to be working with is also not easier straightforward. Most likely your best option is plastic surgeons who have a lot of experience with facial fat grafting. If you have access to your provider in Korea, then that would be a good place to start. If not then consult with providers in your local area and see what they have to say. For a second opinion consultation, come prepared bringing with you a complete set of proper before and after pictures and preferably a copy of your operative report. Highly recommend you will avoid trying to dissolve fat with chemical, fat destruction, a.k.a. Kybella or any non-specific imprecise treatment option. This includes cool, sculpting and attempts using radio frequency as well. You need a precise approach, and you should begin thinking about the exact areas you want fat removed. Anyone contemplating trying to help you manage this situation is going to ask for your input. Simply asking to look the way you did before is probably not sufficient. Best, Mats Hagstrom, MD