Fat Transfer - Ask a Surgeon

Hard lumps following fat transfer can occur particularly when larger volumes of fat are transferred and not adequately dispersed throughout. Depending on how long ago your surgery was, you may have developed "fat necrosis" which is where the fat cells failed to "take" sufficiently and have now died. Your body naturally encloses this clump of cells and forms a firm nodule. Depending on the size, they may need to be surgically removed to fully address the firmness. Smaller nodules may be adequately addressed with steroid injections and massage. As always, any new lump in the breast should also be evaluated for malignancy, however, given your recent surgery this is not the likely culprit.

After coolsculpting most of the changes that occur happen during the first 3 months. After 5 months in my opinion it should be ok to harvest fat from there.

Fat transfers can soften the lines around your mouth using your own fat from a different area of your body (typically your hips, buttocks, or abdomen). It can be used to plump lips, fill in cheeks and improve facial contours. Since it is your own fat you can't be allergic to it and last longer than other fillers- about 50% of the fat stays permanently where it was injected. I suggest making an appointment with a board-certified plastic surgeon to discuss your options.

It's difficult to answer without seeing you, but YES, it's most likely that by micro-liposuction, excision, dissolution with Kybella, or some combination of techniques, that your forehead surface irregularities can be smoothed.