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Fat Transfer to Face - Austin, TX 1-12-15

UPDATED FROM tweaky787
1 year post

Over a year later - much better!

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tweaky787
$1,500
I want to say that I psychologically freaked when the shape of my face changed. Dr. Chikei-Obi was very caring later and I thanked him for helping me get through that. I found out quite a lot about myself. My face looks great now - still have capillaries problems I will have to fight for life, cosmetically? By month 9 post op of the fat graft all of the corrective fillers and cortisone shots sculpted my face perfectly. All of the doctors at Westlake handled me perfectly. I will be going in soon for more under eye fillers, the temples too, and will avoid cheek injections at all costs! Fat grafts are no joke! I think they are great for plumping areas that need more swole, like my butt, why didn't I go for my butt? lol. But I would say stick to HA injections for the face and if you want to avoid plumping your cheeks, be sure your dermatologist is injecting your temples to lift them.

tweaky787's provider

Chuma Chike-Obi, MD

Chuma Chike-Obi, MD

Board Certified Plastic Surgeon

tweaky787

tweaky787 rating for Dr. Chike-Obi:

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Replies (5)

May 31, 2016
Can you tell me which dermatologist you went to for steroid injections?
June 1, 2016
Its great to hear you are getting better!Have you got many steroid shots so far?I've got 6 or so but the excessive volume hasn't changed yet
July 20, 2016
Hey tweaky,
2 Weeks ago i did steroid injections (cortisol) to my Midface cheeks (malar area).
I see that some of the swelling gone away. I will have second cortisol injections in 4 weeks.
But i don´t know if cortisol injections permanent or not, i hope that this is permanent.
You had your Cortisol injection months ago, what do you think, is your grafted fat come back?
I read your review, you wrote that you had another cortisol injections, did you do it because the grafted fat comes back or because you wanted more fat removal?
Sry for my terrible english
February 4, 2017
Levia - how are your cheeks now?? Did you get more injections? x
February 4, 2017
Tweaky, my cheeks are just like yours. PLEASE can you help me out and tell me what helped them go down? I've had Sculptra and am 1.5 years on with bigger cheeks than ever and they won't stop growing :(
August 17, 2017
You shouldn't have broken capilleries from this procedure, and fillers are a temporary fix that you could have done without the botched fat transfer. I am not sure why you are so high on Westlake now, but I would run. I had fat grafting done by Dr Weinfeld in Austin, and my experience was nothing like yours
UPDATED FROM tweaky787
4 months post

answering your questions...

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tweaky787
one medical doctor placed HA under the eye hollows. It immediately plumped up the area and reduced the hollows, but the right eye area has a line that still has not disappeared. He tried to massage it into my face at the time, which resulted in a black eye. The one week follow up with him was "it is still swollen and will reduce." I see how silken HA could work well, if it's done correctly. I'm not the kind of gal where you can massage away any fill mistakes. So far the large line of HA is still there. The left eye circle is not at all bumpy from the Restylane HA fill.

Another doctor, a medically licensed dermatologist, placed fat dissolving steroid shots in my cheeks to reduce the swelling and protrusion. Both doctors agreed that the shape of the cheeks were overfilled and not at all age appropriate. I'm very happy with the results of this steroid injections. I feel comfortable with the shape of my cheeks now!

Overall by the doctors' recommendation to tighten up the facial skin, fraxel as well as IPL was performed. The fraxel was intense and after three days of the burned skin to fall off, my skin is smoother and some of the pores are tighter. The IPL to even out my redness and remove capillaries appears to be working, but I still have capillaries. I honestly expected them to be gone by now, so I have no idea why they haven't been collapsed and eliminated after 4 IPL sessions to do so have occurred.

The doctors emphasized a diet that is free of spices, vit.E, alcohol. I've stuck to this in the hopes that my skin's capillaries will dissolve from the treatments. I've even eliminated all heavy weightlifting.

Replies (4)

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May 21, 2015
Oh I had terrible redness and capillary damage, it has now mostly gone after I think almost 4 months, I never thought they would absorb naturally and had planned on a long road with IPL, so there's hope. I haven't done anything specific, I use a lot of spices, drink wine at weekends, wish I could pin point it to something specific.
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May 22, 2015
Oh have come back with one thing, I didn't think anything of it as my scars heal very well, but my doc gave me skin medica gel and I have used it twice a day for almost 4 months ...
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June 16, 2015
The skin medica under eye night cream is awesomeness. Dr. Nicolitas had me try it. Plumps and moisturizers.
June 6, 2015
Can you say pls what a steroid injection was it? kortison? -5fu?
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June 12, 2015
I know there are only so many steroids out there PS use for dissolving fat grafts and then they worn you, it could an atrophy of the skin, which is, the way I understand it, leave an indentation where they apply the steroid, as far as I know they can not completely control how the steroid will affect the area, the suggest diluting the steroid with multiple applications, I am surprised they used a steroid on her, because I had two doctors tell me they wouldn't use it on my face. The other steroid I heard them mention is Kenelog 10 or 40. 5fu, is more for the skin around the fat graft, I am not certain about 5fu, I just know it does something different to the fatgraft vs steroids and I do not believe it has been approved by the FDA. What area are you looking to dissolve your fat grafts and how far out are you? Have you tried anything to alleviate them? I am experiencing mine are still dying and I am a year post, but I still have reasonable contouring abnormalities, I am researching acupuncture with micro current frequency & thermage, I know people have said to have negative results with the Ultheraphy and Thermage, so I am really researching the positive and negative effects. The other thing you could consider would be looking into lipo dissolve, I have not thoroughly researched the product, but have heard positive effects of the product, but then again it has not been approved by the FDA, those are my concerns, I hoped this helped. If I find anything that will bring my fat grafts to a minimum appearance where they are not noticeable, I will post, but like I said there are two things I am researching in hopes to find a possibility of alleviating these terrible over grafting, the PS administered to ruin my smooth contours of my face.
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June 16, 2015
Attila143 please pm me. I can't believe this thread is being hijacked by trolls
June 16, 2015
tweaky787 i have already pm you, please read it. I had fat graft too. And your review give me hope.
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June 17, 2015
your inbox pms have been answered here, as well as replied to. Please don't repeat the same question in a pm that you ask me on a my public review!
November 29, 2015
Tweaky,

Can you please give me the name of the dermatologist that helped reduce the fat grafting with steroids for you? Also what steroids were used? I'm in Texas and I'm on the hunt for a doc that can remove the fat transfer . I'm overfilled!
December 1, 2015
Sorry for your experience and the ordeal of having to get the fat 'dissolved' etc.
Would you be able to post a full shot of what your face looks like now if possible?
UPDATED FROM tweaky787
4 months post

4 months post op - fat fixes

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tweaky787
Dr Chikie Obi sent me to his colegues to fix my concerns.

First, they filled my under eye hollows with HA to immedietely reduce the hollows. I still have circles, but the right eye is looking great, the left eye could use more. [RS bleep], I wish I had know to just do this!

Then, steroids to meld the fat that was overfilled in the front of my face was performed.

Lastly, more lasering to eliminate the big ones that Amber just couldn't get. One more lasering perhaps will be needed with my followup tomorrow.

I have to say that I am very much more at peace knowing that Dr. Chiki Obi helped me and was genuinely concerned with my distress. I know that I made a mistake and was completely ignorant that my face would change shape, and he understood.

I have to say that even though I made the mistake to NOT Tell him what I absolutely did not want, he has done everything he could to rectify this problem. I trust him completely again and have learned a huge lesson in all of this.

Again, the Westlake staff and doctors are all angels and I feel horrible to think for a second that they didn't have my best interests and goals in mind. They really do.

Replies (5)

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May 2, 2015
Hello, I am glad you are getting things fixed with your face! That is a word of encouragement! What find of steroid did they use on your face and how long ago did they administer the steroid? I am wondering if the fat grafts will pop back up?
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May 20, 2015
I don't know what the name of the steroid is. It immediately reduces swelling and within a week dissolves fat. The dissolved fat does not reappear.
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May 25, 2015
Thank you, the 2 doctors I have approached, with the question of steroid injections have said stay away from steroids, and won't use them on me.
June 6, 2015
Can you ask please your doctor about the name of the steroid? I want to fix my fat graft too. Can you please ask??
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May 2, 2015
I forgot to ask you, what kind of Laser did they use on your face and was it to get rid of more fat grafts?
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June 16, 2015
Ipl at many different frequency and four treatments so far have reduced the vein and capillaries that had surfaced after the fat graft. Dr. K. Coleman used a steroid injection to reduce swelling and kill of the transferred fat cells. He did an excellent job targeting just the front and puffy areas of my cheeks!
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June 16, 2015
The ipl was to reduce and collapse the vascular damage. Dr. Nicolitas did a Graceland last visit to tighten my face. Omg. My skin shed and I looked 5 years younger.
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June 16, 2015
Lol what is wrong with my phone. He did Fraxle laser. Jejeje
May 18, 2015
This comment was removed at the request of the user.
February 16, 2017

This comment was removed at the request of the user.

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June 16, 2015
I have a follow up in two weeks and will ask. Westlake dermatology doctors know what they are doing. Don't read what the scare troll is posting on my review. Not all steroids are the same.

If anyone else posts hate mongering and fear mongering onmy rreview I will report you.
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June 16, 2015
Julianne stop fear mongering and stop posting yout ps and steroid mythology on my review. This is not about you.