So there are finally articles being published on what can happen with fat grafts -- any type of weight gain can lead to disfiguring enlargement depending on where the fat is taken from. in some people its hard to correct because of scar tissue, but in many cases its just hypertrophied fat. In one articles, even HIV patients with a gaunt face felt disfigured by the fat placed in their gaunt hollowed faces because it enlarged so quickly.

I waited so long because so many articles, surgeons say how fat is so important for aging -- yes, if its in the right quantity but free fat grafts, no doubt, can be disfiguring and I'm preying that microlipo and possibly some steroid/5fu will fix my problem areas.

I think its harder to get fat out if you try to get it out when it "looks good" a year or so after. But when it enlarges and grows from its baseline, it is not likely scar tissue that is growing, but the fat itself, and i'm hoping this can possibly be removed. I would also think that the scar tissue that underlies the fat would make the skin unlikely to sag since it would have a support system.

I don't think Coleman and others knew this would happen -- definitely a long term complication of fat grafts and finally literature is being published to warn against using too much fat, and to be careful where its taken from

Hey brett,
Did any article mention exactly where the bad donor sites are? Also, why did you have facial fat grafting in the first place, if you don't mind my asking. If you do, nevermind.

Ryan,

The only reason i didn't use him is i don't want to be put out.

Its weird so few do ML to cheek and to face in general, as taking it out is no more risky than putting it in, same canulas used, probably less trauma in some ways, definitely less recovery.

I'm seeing Jeff Klein soon in LA area, as he invented tumscent lipo and their are before afters on his web site for face lipo

Cybergirl posted a link to some research that said the abdominal fat and the inner thigh fat had the most stem cells. So, what ever fat has the most stem cells, it would follow that fat in the face very well could 'grow' later down the line.

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I've been having problems with computer since May. I'm on a loaner now and still waiting for a new one. If I don't get back to you or am not on board, it would be most likely due to another computer problem.

I mean my face......not butt

right above the pubic area is where they can take a free fascia fat strip to implant to the lip. I'm not sure they lipo that area though.

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I've been having problems with computer since May. I'm on a loaner now and still waiting for a new one. If I don't get back to you or am not on board, it would be most likely due to another computer problem.

Dr. Meronk uses fat from the pubic area or belly button for eyelid hollowness.
http://www.drmeronk.com/hollowed/hollow-eyelid-pearlfat.html

Guaraldi at al., Facial Lipohypertrophy in HIV-Infected Subjects Who Underwent Autologous Fat Tissue Transplantation, Clinical Infectious Diseases 2005; 40:e13–5 offer this--

"Antiretroviral drugs may impair lipid metabolism enzymes..."

"brown fat, which has a higher mitochondria content, could be more prone to lipohypertrophy"

"the preferred subcutaneous harvest site should be the abdomen or the pubis region"

In Miller and Popp, Fat Hypertrophy After Autologous Fat Transfer, Ophthalmic Plast Reconstr Surg, Vol. 18, No. 3, 2002,
the patient presented with an overgrowth on her forehead 10 years after her fat transfer but after a recent weight gain of 15 lbs. They wrote:

"Any patient given a lipid-rich diet after implantation will lose less bulk of the graft. Fulton et al.14 noted that intralesional steroids and/or liposuction had to be used to remove some fat in several of his fat-grafted patients to
diminish graft size as patients gained weight."

From Spector at al, Lower Lid Deformity Secondary to Autogenous Fat Transfer: A Cautionary Tale, Aesth. Plast. Surg. 32:411
414, 2008

"fat necrosis... can produce fibrosis, nodularity, or a fatty pseudocyst"

And in Latoni et al, Overgrowth of Fat Autotransplanted for Correction of Localized Steroid-Induced Atrophy, PLASTIC AND RECONSTRUCTIVE SURGERY, December 2000, they weren't sure why the patient had an overgrowth in her thigh (fat was injected to correct for steroid-induced atrophy) 15 months after her fat transfer, but they thought that it might be due to normal fat being surrounded by a leukocytic capsule. Interestingly, the patient started out with with hypopigmentation at the initial consultation, which changed to hyperpigmentation early after the fat grafting, and
appeared to be normally pigmentation when she came forward with her overgrowth.

LOL LOL - BugJune - you are the funniest person I know - are you as funny in person? and thanks for being on this board and cheering us all up - you would be the best company on a sinking ship LOL - I am not making any analogy Miss J....

Larazelle - thanks for the 'pliment! I'd like to think I'm just as funny in person, but then my husband reminds me of my menopausal "moments". And for the most part, they are not funny. <:-(O) snicker.

I'm bummed that my body generates 10% new fat cells each year - and unconvinced that my body sheds 10% of the old fat cells to balance it all out! But here is more proof that our bodies actually generate new fat cells over the years: http://www.nytimes.com/2008/05/05/health/research/05fat.html

What fascinated me about the study mentioned in this article was that they were able to date human fat cells thanks to the above-ground nuclear bomb tests done between 1955-63. So folks my age will appreciate that the food we were ingesting during those years was... how shall I put this .... HOT?

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I Bug U