Marin Fat Transfer doctors

	Steven H. Williams, MD San Francisco Plastic Surgeon 4000 Dublin Blvd Suite 300, Dublin		14 answers
	Keith Denkler, MD Marin Plastic Surgeon 275 Magnolia Ave, Larkspur		1 answer
	Miguel Delgado, Jr., MD San Francisco Plastic Surgeon 450 Sutter Street Suite 2433, San Francisco
	Diana Parnell, MD Marin Dermatologist 1100 S Eliseo Dr Ste 2, Greenbrae

Recent Answers

After 15 Years Fat Injections to my Tear Troughs Are Still Lumpy and Look over Corrected. Do I Have Options for Removal? After 15 Years Fat Injections to my Tear Troughs Are Still Lumpy and Look over Corrected. I Have Been Told by 4 Top NYC plastic surgeons they cannot remove it or minimize it...With new technology, I am not sure why it can't be reduced with laser or some kind of injection... At 55 finally I am losing more of my own fat around the injections sites and the lumps are becoming more prominent. Three years ago I had a surgeon inject filler around the lumps to try to even out the area with some success but now the filler is gone and the area looks worse...Help!

A: Fat in tear troughs

Thanks for your question -

Fat injection in the tear troughs can cause contour deformity - exactly what you're describing. The issue with fat transfer here is that the skin in this area is very thin and the distance between the skin and the bone is relatively short. This means that injection contour can sometimes be seen through the skin.

Sometimes this fat can be directly excised as part of a lower lid blepharoplasty or through micro liposuction to try to debulk the area. Typically more injections don't make things better.

Find experts in the area. Syd Coleman has a great deal of experience in facial fat grafting and would be a useful consultation. Good luck!

Steven H. Williams, MD

San Francisco Plastic Surgeon

I Have Loose Skin on my Breasts. Would a Fat Transfer Make More Sense then Removing the Skin Itself? I have C cup sized breast with loose skin, sagging breasts and stretch marks. I was considering a fat transfer to plump them up but read on here its not very reliable. Would it make more sense to just remove the excess skin? Are there any other suggestions? I am 5'2, 120 pounds.

A: Fat transfer to breasts instead of lift

Thank you for your question. In our San Francisco area practice we routinely perform fat transfer for buttocks enhancement, facial rejuvenation and breast enhancement. The challenge in your situation has to do with the amount of breast sag you have and the amount of excess skin.

In most cases, fat transfer can't match the changes that a breast lift (mastopexy) can provide.

Find a board certified plastic surgeon familiar and experienced with both techniques and see what's right for you.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

Can Fat Grafting or Sculptra Really Replace a Face Lift in Mid-30s? Two years ago, I had a Rhinoplasty. For about a year afterward, my face was slightly swollen. Consequently, friends commented that I looked much younger.
It even seemed to change the quality of my skin, as it appeared more tight and moist. Could this same effect (plumping and stretching of the skin) be achieved with the use of fat or Sculptra? If so, which one works better? Also, can Sculptra and fat be used together?

A: Fillers are a great idea in a younger patient

Facial fullness and aging are correlated.

I have provided a nice link from the NY Times that discusses aging and variables such as sun, smoking, and weight below.

A filler such as you own fat sounds nice, but over time this if you gain or lose weight, your facial fullness will change also.

Fillers such as Juvederm, Restylane, Radiesse, or Sculptra can help lift a "deflated" face much as a balloon wrinkles when it is deflated. These more likely will help you, rather than a cutting and lifting facial procedure.

In a younger patient, such as those in their 30's, it is more common to use Botox, laser, or fillers to maintain a more youthful look.

Keith Denkler, MD

Marin Plastic Surgeon