San Ramon Fat Transfer doctors
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William Ting, MD
Bay Area Dermatologic Surgeon
2262 Camino Ramon Suite #200, San Ramon |
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1 answer |
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Gary H. Manchester, MD
San Diego Plastic Surgeon
3720 Fourth Avenue, San Diego |
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Thomas B. McNemar, MD
San Ramon Plastic Surgeon
5201 Norris Canyon Road Suite 120, San Ramon |
Recent Answers
I am a 43-year-old triathlete looking to replenish volume to my face. After consulting with several plastic surgeons, most recommended fat transfer and one recommended Sculptra. I am hesitant to have fat transfer because of its unpredictability, high cost, and the fact I don’t seem to retain fat very well on my face or body.
I am considering Sculptra (realizing it is temporary and would require touch-ups), as I have noticed several reputable plastic surgeons advertising it. My concern with Sculptra is the lumps it has been known to cause. Any comments or opinions on Sculptra would be very helpful.
Truly rejuvenation of the face comes with re-inflating the balloon, i.e. our face. Replenishing volume that we used to have should be performed with fillers that will give you the most even result, with minimal bumps or lumps. Sculptra is made of PLLA (poly-L-lactic acid) requires typically 3 sessions, 4-6 weeks apart and works by stimulating your own collagen as PLLA gets reabsorbed almost completely in 2 weeks and gets replaced by your own collagen over time. In the early days of Sculptra where the dilution protocol was not uniform, lumps or bumps are more common. With the current dilution protocol with the FDA approval for cosmetic usage, lumps or bumps are exceedingly rare among experienced Sculptra physician injectors. There may be more versatility with Sculptra as there is always opportunity to make the subtlest augmentation adjustment in case there is any asymmetry. Fat transfer is a fine option; however, even in the best hands, there could be issues with lumpiness or uneven results as the fat transplant may not be evenly reabsorbed underneath the skin.
