How can I decrease fat transfer in frown lines 7 years after a fat graft has left what are now hard lumps? (photo)

I would suggest a personal evaluation with an experiencedboard certified plastic surgeon on this issues. First to evaluateyour concern and identify the cause. This will determine youroptions. Best wishes.

 Don't you love when people answer your question by telling you you need the advice of a plastic surgeon?  what's up with that? i'm not a big fan of facial fat transfer. The problems are far too many and the procedure is a bit unpredictable.  It's very difficult to remove previously grafted fat. If the fat was healthy normal fat small amounts can be removed and with liposuction. When you develop fat in the crosses and get nodules of scar tissue then these can only be removed through direct surgical excision.  in reality your best option is to work with Botox and filler's to help the area look it's best. I can't think of a simple permanent fix for your situation. Best, Mats Hagstrom MD 

this is tough,. it is more  difficult to fix small things than big things. You need to be seen in person. The easiest thing to do is to put some filler around the lumps to see if they can be camouflaged. they might be made some better by trying to break up the fat with a small liposuction cannula. There is some interest in using kybella here though it is very new and there is no track record with it for these kinds of problems.