I had facial fat grafting 4 months ago & I'm very unhappy with the results. My face is too full & one side is bigger than the other. It looks like a have a "speed bump" running down the center of my bigger cheek. Also, the corners of my mouth turn downward like a constant frown. Is that normal? Can I have the fat removed? I've had steroid shots 3 times in an attempt to get my cheeks to go down but very little change.
Answer: Fat grafts can be reduced after grafting.... I am sorry to hear about your problems following fat grafting. I have been doing fat grafting for facial rejuvenation for 12 years now and find it one of the most rewarding procedures for both the patient and myself. It does require the surgeon to have some awareness of facial aesthetics and the changes that occur with age as well being very careful with technique.I have treated several patients that were unhappy with their results performed by other surgeons. I have not seen great success with steroid shots because the fat is pretty tough and I worry that the shots may cause problems in the skin overlying the grafts. What I have found useful is micro-liposuction with very small precise cannulas. This is done in the office with local anesthetic, carefully removing excess fat. It often will have to be repeated several times and we often will do corrective fat grafting after the fact to give the patient the best cosmetic result. At four months you may not have given the fat enough time to smooth out as there is a lot of resorption of fat following grafting (usually around 60%), so there may be some improvement moving forward.Good luck and I hope this helps.Dr. Wayne
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Answer: Fat grafts can be reduced after grafting.... I am sorry to hear about your problems following fat grafting. I have been doing fat grafting for facial rejuvenation for 12 years now and find it one of the most rewarding procedures for both the patient and myself. It does require the surgeon to have some awareness of facial aesthetics and the changes that occur with age as well being very careful with technique.I have treated several patients that were unhappy with their results performed by other surgeons. I have not seen great success with steroid shots because the fat is pretty tough and I worry that the shots may cause problems in the skin overlying the grafts. What I have found useful is micro-liposuction with very small precise cannulas. This is done in the office with local anesthetic, carefully removing excess fat. It often will have to be repeated several times and we often will do corrective fat grafting after the fact to give the patient the best cosmetic result. At four months you may not have given the fat enough time to smooth out as there is a lot of resorption of fat following grafting (usually around 60%), so there may be some improvement moving forward.Good luck and I hope this helps.Dr. Wayne
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May 1, 2016
Answer: Fat Transfer Results, Are They Permanent? Can You Reverse It? 5fu/steroids, and aggressive RF treatments can sometimes help. Liposuction of the face is dangerous, kybella can be tried. Best, Dr. Emer.
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May 1, 2016
Answer: Fat Transfer Results, Are They Permanent? Can You Reverse It? 5fu/steroids, and aggressive RF treatments can sometimes help. Liposuction of the face is dangerous, kybella can be tried. Best, Dr. Emer.
Helpful 1 person found this helpful
April 30, 2016
Answer: Can I reverse fat grafting in my cheeks? Thank you for your question and I am sorry that your results have not been what you anticipated. Fat grafting can be reversed either by careful liposuction or direct excision of the fat, as steroid injections are more useful for treating swelling but not fat accumulation. Hope this helps.
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April 30, 2016
Answer: Can I reverse fat grafting in my cheeks? Thank you for your question and I am sorry that your results have not been what you anticipated. Fat grafting can be reversed either by careful liposuction or direct excision of the fat, as steroid injections are more useful for treating swelling but not fat accumulation. Hope this helps.
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Answer: Fat Transfer Reversal This is a good question. Fat can be removed from areas that is was injected into, and each patient is taken individually. I utilize 2 different approaches for this problem. The 1st is a conservative approach using micro-liposuction. This is a conservative approach and utilized in areas of the face where a small amount of fat needs to be removed. The fat can be visualized through the skin and discreet lumps can be palpated. This can be performed in the office utilizing local anesthesia. Again, each patient is unique and considered individually. the good news it can be removed.The second technique is to access the fat via a facelift approach. In this method, a facelift type incision is utilized and the injected fat can be visualized within the face. The injected fat can be discerned within the face from the normal anatomical layers within the face. This method is necessary when the cheeks are involved and there is asymmetry to the face. Lastly, I would not recommend Kenalog injections or steroids of any kind. Fat that is transferred achieves vascularity and lives as fat and becomes new lining tissue in your face. It is an integral part of your face now and must be treated as such. I hope this helps. Good Luck
Helpful 1 person found this helpful
Answer: Fat Transfer Reversal This is a good question. Fat can be removed from areas that is was injected into, and each patient is taken individually. I utilize 2 different approaches for this problem. The 1st is a conservative approach using micro-liposuction. This is a conservative approach and utilized in areas of the face where a small amount of fat needs to be removed. The fat can be visualized through the skin and discreet lumps can be palpated. This can be performed in the office utilizing local anesthesia. Again, each patient is unique and considered individually. the good news it can be removed.The second technique is to access the fat via a facelift approach. In this method, a facelift type incision is utilized and the injected fat can be visualized within the face. The injected fat can be discerned within the face from the normal anatomical layers within the face. This method is necessary when the cheeks are involved and there is asymmetry to the face. Lastly, I would not recommend Kenalog injections or steroids of any kind. Fat that is transferred achieves vascularity and lives as fat and becomes new lining tissue in your face. It is an integral part of your face now and must be treated as such. I hope this helps. Good Luck
Helpful 1 person found this helpful
April 21, 2017
Answer: Too much fat You could proably have your doctor suction some of the fat out on the side that is bigger and since you are only 4 months out it will get smoother with time.
Helpful 1 person found this helpful
April 21, 2017
Answer: Too much fat You could proably have your doctor suction some of the fat out on the side that is bigger and since you are only 4 months out it will get smoother with time.
Helpful 1 person found this helpful