The short answer is no

Stephen Prendiville, MD answers: Are fat injections necessary before facelift?

Hi Doctors, I'm a bit confused--some doctors favor fat injections while others say stay clear. I have been offered fat injections to upper lids, cheeks, nasolabial folds and marrionette lines along with a facelift.

I am now wondering if I really should have the injections as so many people are unhappy and the doctors are not in agreement. Thank you for any answer you can give about this.

Stephen Prendiville, MD
5 months ago

The concept and practice of fat injections has been around for some time. In recent years, it has received a newer ground swell of interest. The efficacy and safety of the procedure is somewhat debatable, but certain facts will remain true:

1) Fat injections will not replace a Facelift for an individual who needs a Facelift.

2) Fat injections are very technique dependent. Some surgeons get great results, many do not.

3) Fat injections carry with them the native properties of the fat cells (adipocytes). When you gain weight, the injected fat cells can be expected to increase in size.

4) Fat injections can be less predictable than fillers in results. In addition, fat injections carry the morbidity of a donor site harvest, which is not necessary with fillers.

Fat injections are designed to restore volume. If this is a physical finding which can be improved upon aesthetically, fat injections may help you. However, fillers remain as very effective alternative in correcting volume deficiency

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