Facelift: Q&A
Ask a QuestionAny Advantage to Fat Transfer During Facelift Vs Injecting at a Later Date?
I am considering autologous fat transfer to face as part of facelift surgery, as recommended by one facial plastic surgeon. However, another plastic surgeon believes once tissue is elevated by facelift procedure alone, I may not need the fat augmentation to my cheeks. My question is not what to do, but if doing fat grafting/injection at a later date is likely to "take" as well. (I've heard fat grafting has better success rates if done during surgery.) Thank you in advance for your comments.
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23 Doctor Answers |
Asked by
jenny22
in San Diego, CA
+3
Facelifting and fat grafting/transfer
Fat grafting/transfer is an excellent procedure to have along with a facelift. As we age we lose volume in our faces and a facelift can only do so much to restore that loss through repositioning the fat in the cheeks and jowl area. In the typical facelift patient, many areas remain after lifting that need volume resoration such as the malar areas, nasolabial folds and marionette lines, jawline and others. I perform fat grafting after the facelft is completed but at...
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Saint Louis Facial Plastic Surgeon
+3
Fat transfer with facelift
I prefer to perform grafting at the same time as the facelift, in areas NOT undermined by the facelift.
What is to keep the graft there when it is placed between two skin flaps? What is to prevent the fat injection grafts from shifting or moving? The answer is nothing.
Grafting into areas NOT undermined are effective. Grafting into areas of the facelift that ARE undermined is less effective because the grafts can move.
+3
Fat grafting with facelift is all about volume
I don't buy the argument that the take of the fat grafts is better after the facelift as opposed to during the procedure. Fat grafting and the other things that are done under the skin during a facelift are an important part of reshaping the face.
People tend to think of facelifts as just pulling on skin, but it is a 3-dimensional concept. That is one of the keys to having it look natural. If you save it for a later date, then the appearance after the facelift and before the grafts is...
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Facial lipoinjections and facelifts
Fat injections to the face is a wonderful adjunct to many Facelift procedures. While Facelift surgery will reposition the soft tissues of the face to counteract the effects of gravity, the procedure alone will not volumize the face to a more youthful appearance. Fat grafting is generally performed at the time of face lifts simply because of surgical convenience. Facial fat grafting is also performed as an independent procedure. Fat graft survival has little to do with whether the procedure...
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Fat grafting to the face is a great idea at the time of the face lift
The reason for the fat grafting at the time of the face lift is to replace natural loss fat from the face. The process involve grafting the fat to the deep layers that not undermine with the face lift. The main advantage of the grafting the fat at time of face lift is that you get a 3 dimentional lift and less lateral pull. Fat grafting results depend on the surgeon' experience.
+2
Fat Transfer During Facelift Vs Injecting at a Later Date?
Fat grafting can be inconsistant under the best of conditions. The keys to successful fat grafting are: acquiring the fat with low suction pressure, properly preparing the fat for grafting, and micro-droplet injections. The reason of the latter is that small grafts are more likely to get a good blood supply before they dissolve than large grafts. So adequate blood supply is paramount for the fat grafts to survive.
This leads us back to the question of fat grafting during...
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+2
Fat Graft to the Face and Face Lift Surgery
I prefer to perform fat grafting to the face at the same time as the facelift.
Performing facial fat grafting at the same time as a facelift saves the patient an additional surgery, recovery time, and money.
There is no survival advantage for the fat if it is grafted or injected into the face at the time of surgery or at a later date. However, it is important for the fat that is injected at the time of surgery to be injected in areas that have not been aggressively...
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Fat Grafting with Facelift
Fat grafting at the time of the facelift will avoid the need for a second procedure. The success rate is the same as long as fat is not placed under skin elevated during the facelift.
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Fat Grafting During Facelift
Facial fat grafting requires several important factors to be done well. First, it must be small product injected. Next, it should be placed into multiple planes. Third it needs to stay where it's placed and finally it needs blood supply.
I will only add fat, during a facelift, to areas not undermined. This limits it to areas such as temporal hollowing. I perform SMAS elevation and extensive SMAS facelifts and these procedures often correct facial fullness issues.
I would do these two...
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Fat grafting is part of facelift surgery
The rejuvenation of the face includes the surgery, volumizing the deflated face and skin resurfacing with skin care and/or laser. This multidimensional approach allows the plastic surgeon to get the best results possible for the patient. Each of these procedures can be done separately.
Fat grafting is commonly done with facelift surgery to restore volume. Autologous fat is often taken from the tummy/hip areas and used as micro fat transfers to the face.
By performing fat transfer at the...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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