Fat Transfer for Long Term Results?

There is a wide range of techniques, instrumentation and experience among the surgeons that perform this surgical procedure. Because of the tremendous variability in all of these factors, there is tremendous variability in fat grafting results. To perform fat grafting successfully and reproducibly a surgeon must employ careful preoperative planning, appropriate instrumentation and meticulous surgical technique. It is not something you can 'rush through' or... more

  Fat grafting works very well for the locations that you mention.  A certain percentage (typically 40-50%) of the grafted fat will survive and stay permanently

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... more

Hi Silano, Fat transfer is excellent with long lasting results in the areas of your concern. The key to choose an experienced and skilled physician in the use of fat sculpting. Also consider volumizing your temple area. An alternative to fat transfer to achieve your facial cosmetic goals would be Sculptra, again in the hands of an experienced physician. Good luck and be well. Dr. P

As you pointed out, movement decreases the "take" of grafted tissues whether they are skin grafts or fat grafts. The survival, or take, of the fat requires that the blood vessels in the injected fat hook up with blood vessels in the bed where they are injected. If that happens, the fat is alive and permanent. If it does not happen you will mop up the dead fat over a few months. So whatever is still there at 3 months is usually permanent.

Fat transfer could provide you with long term correction of the areas that you have delineated. Seek a consultation with surgeons in your area who have experience with this technique.