OK to Get Fat Grafting 6 Months After Being Injected with Hyaluronic Acid?

I got Juvederm in the upper cheeks, eye troughs, and nasolabial area. It is now 6 months, and I would like to consider a more permanent solution like fat grafting. Is it okay to do so?

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8 Doctor Answers | Asked by anon1834

Doctor Answers (8)
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Fat Transfer

It should be fine. Just find a Board Certified Plastic Surgeon to do your work and offer other alternatives. Thank you for your question and good luck with everything.

Fat grafting after fillers

It is certainly ok to inject fat grafts into areas that had juvederm or restylane. However, you may want to wait until the fillers completely resorb so that you can add the amount of fat that you would like to place. Remember,e ven with fat grafts revisions are the norm sometimes two or three times to get it to the level that you desire.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Hyaluronic acid can be removed with hyaluronase when necessary.

Occasionally I have had patients where they decided that they did not want the hyaluronic acid filler (Juvaderm or Restylane) anymore for some reason. Sometimes the filler can last a very long time, much longer than is generally thought. I have had patients with Juvaderm that lasted several years in the lower eyelids for example. Fortunately if it is necessary to remove the hyaluronic acid this can be done very effectively, within hours often, by injecting hyaluronase. This has... more

Hyaluronidase first for best results!

Hello. You probably still have some Juvederm persisting. Since Juvederm can persist for over a year in some people, the best bet is to remove as much as possible with hyaluronidase. Hyaluronidase is a fast-working injectable that can help take away the persisting HA (Juvederm), allowing for more precise volumizing with fat and less "guesswork". I would recommend one or two injections spaced about a week apart, then scheduling the fat augmentation. Good luck! more

Catherine Winslow, MD

7 reviews

Indianapolis Facial Plastic Surgeon

www.indyface.com

Fat grafting, juvederm, perlane, restylane injections

Yes, it can be done. Hyaluronic acid injections and fat injections can be done together or spaced apart. Your doctor who is going to be doing it will have to consider the amount of product or fat to inject to account for the appropriate correction of the area. You may lose some of the fat grafting due to resorption, but should get good augmentation with the procedure. alternatively you may want to reinject with the same hyaluronic acid product used earlier instead of the fat... more

Fat injection after juvederm treatment

In my experience, Juvederm last 9-12 months. therfore there are some residual H.A. still present in the injection sites. There is no contraindication for re-injection of other fillers to enhance or replace the previous fillers. There is no published data to indicate that the survival of fat grafting is influenced by excistance of other fillers in the injection sites. Feel comfortable to proceed with your plan, providing he/she is a qualified surgeon.

Juvederm can last up to a year - Hyaluronidase will help it go away right away

I agree that you are probably within the last stages of the gel filler. But the gel fillers may leave certain areas faster than others depending on amount, location, and how much movement there is in the area. But all you need to safely proceed is to have the physician inject the areas with a hyaluronidase enzyme prior to your treatment to make sure all the gel filler has been broken down. Hyaluronidase is a enzyme which breaks down or reverses the effect of the gel... more

Probably so...

The only thing to think about is that there may be some Juvederm left in the area. If this is the case, your physician might want to fill in a little more, to account for the loss of volume from this last bit of Juvederm. To be absolutely certain that you're starting with a "clean slate" you could wait 4-6 months more, at which point you'll be back to your baseline.