I have severe atrophy of fat in my face due to exercise and having consumed phentermine for weight loss. There is no visible fat in my face and I look extremely gaunt and "flat" with very deep nasolabial folds like a fifty year old though I'm only in my 20s. I already have 2ml of aquamid in my face. Will injecting Sculptra or fat transfer cause any complications/granulomas to the existing Aquamid? Thanks in advance
Can I Get Fat Injections if I Already Have Aquamid in my Face?
Doctor Answers (5)
Fat injections in area of previous Aquamid
There is a minor concern with secondarily infecting or colonizing the aquamid. Inmy opinion, I would advise the use of antibiotics prior and subsequent to any fat injections.
Fat injection to the face
Fat injection to the face is superior to any other permanent and semipermanent filler.
From your description of the face you need to consult a Plastic Surgeon to make sure you are not suffering from Hemi-Facial atrophy.
Then you can proceed with fat injectionwhen the fat loss is stable.
Fat Grafting is a Good Solution
Fat grafting is a much better solution than Aquamid. secondary considerations of infection notwithstanding, fat grafting is the only long lasting reasonable options and you should seriously consider it.
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Mixing Aquamid and Sculptra
There is a chance that either product can result in a lump or bump. If this were to happen, you wouldn't know which product would be the cause. Latent infections related to biofilms could be activated by an injeciton of a new product. Long term fillers might have a greater chance of this happening although this is not proven.
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.