Saint Louis Fat Transfer doctors

	Laxmeesh Mike Nayak, MD Saint Louis Facial Plastic Surgeon 607 S. Lindbregh, Saint Louis		8 answers
	Christian Prada, MD Saint Louis Plastic Surgeon 17300 North Outer 40 Road Suite 300, Chesterfield		7 answers
	Herluf G. Lund, Jr, MD Saint Louis Plastic Surgeon 17300 N. Outer 40 Road Suite 300, Chesterfield		3 answers
	Samer W. Cabbabe, MD Saint Louis Plastic Surgeon 10004 Kennerly Road Suite 365B, St. Louis		1 answer
	William H. Huffaker, MD Saint Louis Plastic Surgeon 17300 N Outer Forty Road Suite 300, Chesterfield

Recent Answers

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

How Much Does Fat Injection Cost? How much do fat injections typically cost for face treatments?

A: How Much Does Fat Injection Cost?

Fat transfer performed in our office usually run about 2800$. Subsequent fat transfer procedure cost about 1500$.

Christian Prada, MD

Saint Louis Plastic Surgeon