Fat graft survival in the face and alternative fillers

Fat grafting can provide wonderful long term improvment and can even provide some degree of secondary skin rejuvenation benefiets in my long experience using it. The only problem is that the degree of long term survival varies from individual to individual.  I have seen many patients return years later with lasting benefits, and a few (often younger patients) in whom the long term survival of the fat has been less than optimal.

Your alternative in my opinion is to have certain but shorter term improvement from injectables such as Juvederm (in my experience, it lasts 9 months to up to 2 years) without undergoing minor surgery.

There is probably no perfect answer for everyone. Weigh your options and then make your choice.