Fat Transfer for Marionette Lines?

  Fat can be injected into folds but it won’t last very long.  If you are interested in a long-term filer option you may want to consider ArteFill

Physicians may peform fat injections by harvesting fat each session and performing this a few times in a year. Others harvest and store the fat and use thawed fat on repeat visits. The costs per treatment vary because of this. Each physician charges differently.

 Please watch Dr. Lam's nice video discussion from a scientific meeting.  Realize that fat grafting is not for fine line correction but for deeper volume enhancemnt.  As such, some of the injectable fillers may really work better in this area.

Hi Anonx, I fully agree with Dr. Lam, a true pioneer and excellent fat transfer facial plastic surgeon. I have been recently very impressed with the results of Sculptra (when properly used) in the lower lateral chin area. Again, the filler is used as a volume contouring agent, not as a line filler. Good luck and be well. Dr. P

Hi, thanks for the question. i do a fat transfer about every other day and have written 2 books on the subject. i know a ton of surgeons do fat for marionette lines but they fail consistently in my opinion. fat is intended to cover bone and soften facial transitions so that people look a ton better but fat is too soft to augment lines with any certainty of a durable result. i know my answer goes against the grain but i truly believe that fat is not the best option for those lines. ... more