Unhappy already with micro fat Transfer. How long do I have to wait to do filler or another transfer? Very disappointed :(

Question

One week after a fat Transfer. Already too much volume loss and zero contour

Thomas A. Mustoe, MD, FACS · Answer

I have been doing facial fat transfer for 30 years with a very high satisfaction rate and survival of fat over many years.  There is a learning curve for the surgeon: ie experience helps much more than with filler which is straightforward: temporary and has its own limitations.  Persistence of fat volume is 30 to 50%.  Volume loss in first week is mostly due to very temporary swelling.  It takes 6 weeks roughly to see a final result.  It is likely that not enough volume was used or the fat viability was reduced in the preparation.  Microfat means different things to different surgeons but fat is fragile and has to be handled gently to survive.  You need to wait at least 3 months before considering more fat or filler.

James H. Rogers, MD · Answer

You do not mention what  area you had fat transfered too. Generally , some overcorrection is performed and the final result cannot be evaluated until the swelling has resolved. If there is inadequate correction, additional grafting can be done reasonably soon after the orginal graft . Some areas , such as around the eyelids, are in my opinion more safely and predictably treated with fillers. Discuss your results with your surgeon and ask if repeat grafting is optimal, or if other options may be better to achieve your desired result.

Mats Hagstrom, MD (license on probation) · Answer

The biggest problem with facial fat transfer is one too much fat survives leaving patients in a situation that is difficult to correct and aesthetically undesirable.  Well your situation is also undesirable it is the better of the two undesirable outcomes. I would suggest waiting a minimum of three months then continue with using fillers.  If you have faith in your provider then you could ask him or her to do another round of fat transfer increasing the volume is slightly based on your first results.  Generally fillers are better giving more precise results. Best, Mats Hagstrom MD

Unhappy already with micro fat Transfer. How long do I have to wait to do filler or another transfer? Very disappointed :(

Answers (3)

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