Correcting an over-filled fat transfer to cheeks, 30 years post op. Can this be removed during facelift? What are my options?

There are often contour problems with fat transfers. Depending on your situation a facelift combined with targeted liposuction could offer some improvement. However injected fat is sometimes not as easy to remove as you might think but I think it could be worthwhile to do that. Don’t bother with kybella. It’s expensive, painful and hard to control

To correct overfilling of the cheeks with fat, it is important to know where the fat was placed. Your surgeon may be able to tell this by palpating on exam. For best results, the fat will likely need to be removed directly during a facelift as the other methods are not as controlled or predictable.

Your situation can be treated at the time of a facelift, depending on the exact location of the transferred fat. At the time of elevating the facial and neck flaps for a facelift, liposuction and/or surgical trimming of more superficial fat can be performed. However, if the fat is deep to or within muscles, there would be more risk of complications such as nerve injury, so I would only consider treating the more superficial fat. I have personally used this approach successfully in a patient who had fat transfer that later increased in size with weight gain over the years.