Dear Mais:
My heart really goes out to you. I know everyone who reads this is wishing the best for you. We all love the idea of fat transfer…right? Because it’s so natural …….but the dark side is that it’s very difficult to fix if it doesn’t go well. That’s why, for now, I encourage everyone to stick with things that are easier to adjust or fix like the hyaluronic acid fillers and even Sculptra – which can occasionally cause bumps … but they go away and can be treated!
So what to do! In general, it sounds like you’ve found a good dermatologist and plastic surgeon now who clearly don’t want to make you worse. Here are some thoughts:
- Be patient with the Lipodissolve – it can take more than a few weeks to really work. For those in the U.S., this product is available internationally and we are hoping the FDA will approve it here this year, in the form of Kythera;
- Work slowly – can some of the lumps be cushioned or blended visually with a hyluronic acid filler in the meantime while you are working on a permanent solution;
- It’s true that lumps like this can be removed from an “inside the mouth approach” by an experienced surgeon with good ultrasound guidance to localize them well. One option, would be to just do one lump this way and see how you heal before trying more;
- Be kind to yourself and patient. This will get resolved but it will take a some work and a thoughtful approach over a year or two – think gradual improvement!! It’s tempting to do something dramatic but the results can be worse.
Hope this helps, Dr. I
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