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I heard someone else having hard/lumpy fat after fat graft, and a doctor told them it was the result of the fat not being processed well before inserting. I'm not sure what the process done to the fat is exactly, but if nurses do it, it's best to avoid that clinic altogether for fat graft, I'm thinking. I think it was either missorange from purseforum or someone else from PF that had it happen to them. Missorange loves her fat graft results with Dr. Seo, former MVP doctor. She got botched before that and he fixed it. I realize this piece of information is late, but hope this helps someone!