Fat Transfer in lips still painful, sticky, lumpy after 9 Months. (photo)

Snowchild, I'm  sorry to hear of your plight. It is generally accepted that you get what you get with fat transfer 2 to 3 months after the initial procedure. If you have lumps nine months after, these are essentially permanent. One could try injecting a dilute mixture of steroid (Kenalog) mixed with 5-fluorouracil and most people will get 30 to 50% improvement with these. Unfortunately, non-invasive treatments stop there. At this point, if lumps still persist, one can consider trimming them down through incisions behind the wet-dry junction (within the mouth) or adding filler adjacent to the lumps (to smooth  down the vermillion silhouette)  or a combination of the two techniques. Obviously, you can return back to your original practitioner who performed the procedure on you.  If you still have concerns, seeking the opinion of a lip surgery expert would be advisable.

This is the downside of fat transfer to lips.  All fat does not dissipate over time, rather a percentage of it remains permanently.  The outcome is not as predictable as using HA based fillers.  Removing those clumps of fat is also not easy because it is integrated with the tissue.  I recommend following with an experienced facial surgeon to discuss the possibility of removal.  All the best!