Scar tissue after facial fat graft 1 year post op. Noticed a lump or line form. What can be done? (photos)

To make an accurate assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took.
Generally, I’m not a big fan of facial fat transfer.
The procedure Tends to be imprecise, unpredictable, and potentially unforgiving if people don’t like the results.
Basically, the same reason you’re having concerns with your outcome.
I generally recommend patients use fillers, which are unlike grafting fat very precise, predictable, and forgiving, if you don’t like the outcome.Removing previously grafted, fat or scar tissue from the face is very difficult.
It’s up to each provider to figure out how to do this if they’re going to engage in facial fat transfer.
Because of all the problems with this procedure, I no longer perform facial fat grafting.
I do a lot of fat grafting in the buttocks and breast, but the face is quite different and the precision required to get quality outcomes simply isn’t there in the face.
There are a lot of reasons why facial fat grafting is not that great of a procedure.
Fat grafting is better forgiving overall diffuse volume than giving very precise. Volume changes in small areas.
For example, fat grafting is notoriously bad at treating nasal labial folds.
Best,
Matt Hagstrom, MD