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A few weeks ago I was asked to evaluate a patient with irregular fat deposits resulting from a fat transfer. She had undergone repeated fat transfers into the lips, cheeks, and nasolabial folds with less than perfect results.

Although the transferred fat had been applied relatively regularly, the ensuing hematoma (bleeding/bruising) had resulted in a significant shift of the applied fat and deep scarring.

All things being equal, Fat Transfer is very successful; however infections, seroma formation (collection of fluid under the skin) and irregular absorption of the fat can lead to a lumpy appearance.

Solution: Once again, we need to use a comprehensive approach to correct this problem. I usually start by breaking the excess fat and scarring down with repeated intralesional cortisone shots (ILTAC 2.5mg/cc). This is followed by subsicion of the deep fibrous bands, and lymphatic drainage. Finally, the excess fat can be gently suctioned by hand.