Kansas City Fat Transfer doctors

Laxmeesh Mike Nayak, MD Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis
8 answers
Hannah Vargas, MD Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
930 Carondelet Drive Building C, Suite 102, Kansas City
5 answers
Eric Swanson MD Eric Swanson MD
Leawood Plastic Surgeon
11413 Ash, Leawood
2 answers
David Finkle, MD David Finkle, MD
Omaha Plastic Surgeon
4911 South 118 Street, Omaha
William H. Huffaker, MD William H. Huffaker, MD
Saint Louis Plastic Surgeon
17300 N Outer Forty Road Suite 300, Chesterfield

Recent Answers

Where Can and Can't You Inject Fat on the Face?

Where can and can't you inject fat on the face? The doctor I recently consulted with told me that fat cannot be injected into the nose tip and chin because fat doesn't exist there.

A: Fat Grafting

Fat grafting or transfer is a great way to improve the harsh facial contours that develop as one ages.  In my hands, I do not inject fat in the lips (it absorbs too fast because of all of the motion) and I do not inject specific fine wrinkles. I use other injectables for those problems. Other than that I feel that I can really improve the global changes in the face with fat.  The results are soft and natural appearing.  It can be a stand alone procedure in younger patients or combined with other procedures in older patients.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
Why is Fat Transfer a Low Rated Procedure on RealSelf?

Fat transfer or grafting has slid into one of the lowest rated plastic surgery procedures on RealSelf. Under 40% of consumers say fat transfer was "Worth it". Why is this the case?  Is there something wrong with the procedure, patient selection, doctor technique?

A: Fat transfer is not the magic bullet we wish it were!

I think the reason fat transfer has low "worth it" ratings is because fat transfer is actually of very limited utility in facial plastic surgery. In my personal experience, fat transfer produces very predictable results in the tear trough, moderately predictable results in the anterior and lateral cheek, and almost no long term results in the lower face. It is also not a valuable treatment for skin wrinkles or creases - it is good for "volume" filling only.

When fat transfer is used as a single procedure, and the patients' entire satisfaction is based on the result, I think disappointment is likely. When fat is used as a "finishing touch" to blepharoplasty or facelifting, focusing on the tear trough and cheek, I think overall satisfaction is high.

In short, I think most of the dissatisfaction with fat is because patients (and inexperienced surgeons) are asking too much from a procedure of relatively limited utility.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
A Twofold Question Regarding Fat Transfer After Restylane to the Tear Troughs

I am 23 and have always had hereditary dark circles caused by tear troughs and very thin lower lid skin. 2 months ago I had restylane done. It did slightly improve the contour, though I have a dent under one eye and the darkness from underlying vasculature and muscle is still there. Now I'm hoping fat might be an option as it isn't clear. Can I have fat transfer to the area with the restylane so recent? I'm also trying to find a dr in Atl that is known to be skillful with this delicate procedure

A: It is possible to have fat transfer to tear troughs shortly after Restylane

I have performed tear trough fat transfer, with or without concomitant lower blepharoplasty and laser resurfacing, in patients who have had Restylane or Juvederm Ultra in their tear troughs. The process is actually very straightforward - we simply reverse their filler through a hyaluronidase injection several days before surgery (generally when the patient comes in for the informational/consent session).

 

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
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