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.
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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.