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Fat Grafting over Facial Implants
Does fat grafting "take" in areas where facial implants are? I am putting submalar cheek implants in but may need some f/g as well. Also if I need to remove implants and scar tissue forms can the area be successfully fat grafted?
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8 Doctor Answers |
Asked by
kittymeowmeow
in los angelos
+2
Fat grafting over existing cheek implants
The problem with implants is that as facial fat goes away over time, the implants become more and more visible. They can show an apple-like appearance when the patient smiles.
If the implant has a large submalar component, there develops in the face a large lower bulge in the cheek as facial fat wastes away, creating the illusion of old age (the center mass of the cheek falls with time).
The survival of all grafts will depend on the blood supply around the grafted material. It will also...
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Fat grafting over implants generally OK
Fat grafted over implants should do well as long as it is injected into healthy vascular tissue. There is a small risk of infection of the implants.
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Fat Grafting works fine over facial implants
Fat Grafting works fine over facial implants. I have done this succssfully a number of times. With continued aging, facial implants become more exposed. Fat transplantation provides a convenient option for covering up the implant. Theoretical blood supply issues have not been a problem in my experience.
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Fat grafting over implant
There may be much less surface area of good blood flow around the new fat graft (injection) because of the implant's physical presence. This might decrease the chance of the fat cells living in their new environment. Also there is a very rare chance that a secondary procedure could cause a local infection which might create a need for the implant to be removed.
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Fat grafting
It is certainly possible to graft over the implants. However, it seems unusual that you are planning this now. The implants should achieve your goal otherwise you should just proceed to fat grafting as the first step.
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Fat Grafting or Injections need a blood suppy to live
You can graft around an implant but it depends on the blood supply around the implant. Typically, around the implant a layer of scar tissue usually forms. Scar tissue is notoriously known for its low blood supply. Bringing fat next to the implant has the potential to live if done right. Over time with the survival of fat around the implant, additional fat grafting can be done there to further increase the volume around the implant. If you remove the implant, the success of fat grafting can...
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Facial Implants and Fat Grafting
The situation you describe does not seem problematic to me.
Cheek implants are placed directly on top of the bone, whereas fat grafting is a much more superficial procedure in the cheek and lower eyelid region (typically in the level of the skin fat or muscle directly below the skin). There should not be a decrease in blood supply for the fat to take.
Best of luck!
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Fat grafts require blood flow to survive
In order for a fat graft to survive there must be blood flow that re-attaches to it. This is diminished in the area directly next to an implant so the take there might be less. As to the future, it would be possible to re-graft the area but here again, scar tissue and its lower blood supply may affect the take negatively.
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