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Fat Injections or Multi-level Fat Grafting Along with a Facelift

asked 2 years ago by kpilling in walnut
Latest answer by William Portuese, MD
Question viewed 229 times

Seen 3 doctors. 1: face & necklift, lipoinjections with malar pad elevation. 2: face and neck only. 3: lower face(SMAS) and neck with multilevel fat grafting. What are your feelings on fat grafting? Is it necessary? I'm confused and just wanted jowls and neck corrected.

11 answers to Fat Injections or Multi-level Fat Grafting Along with a Facelift

+1

Fat injections for facial aging.

I have been using fat grafting for more than 30 years. I use it on patients who are gaunt or want there cheeks a little fuller. It sounds like you just need a good face/neck lift. See a surgeon who is experienced and whose work looks natural.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Fat injections with facelift

The face and neck lift is done for signs of aging, which includes jowls, neck laxity, muscle cords, and fat deposits in the neck. We do not perform fat grafting in our practice because the results are so inconsistent. We’ve seen multiple cases whereby fat globules can be seen and palpated, which are very difficult to address due to the irregularity of the healing process. With regards to malar pad elevation, we prefer cheek implants for volumetric augmentation of the cheek when... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Fat Injections with Facelift

To answer your first question, let me say that fat grafting is an effective procedure that I have used for 35 years. Each surgeon has his/her own approaches for facial rejuvenation. Look at the results in patients similar to you before deciding which surgeon you will use.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Keep it Simple

You have discovered that correction of aesthetic concerns is very artistic and each plastic surgeon has his or her own interpretation of the methods needed to achieve correction.  Based on your last statement about just wanting neck and jowls corrected you need a facelift with possibly correction of the neck through a smaller incision in a crease beneath your chin.  No one wants to have multiple procedures but it is not unreasonable to have the facelift and allow things to heal... more
Earl Stephenson Jr., MD, DDS

Atlanta Plastic Surgeon
+1

Fat Grafting is one of the more effective techniques for volume enhancement

Three dimensional volume loss from fat atrophy and bone resorption begins in 3rd decade of life.  All you have to do is look at relatives from childhood to grandparenting to see we're left with just skin and bones.  Therefore, volume replacement is in almost every discussion with any patient who seeks rejuvenation.  All one has to do is see the success of fillers in todays cosmetic pratice to realize the value of facial augmentation. I perform my fat... more
Michael J. Rodriguez, MD

Miami Facial Plastic Surgeon
+1

Fat Grafting and Facelift

There are many ways of achieving aesthetic results with a facelift. Fat grafting can provide excellent results, especially when combined with one of the older methods of facelifting. I prefer a modified MACS Lift (a newer method) that moves the available fat back to where it used to be, thus reducing the need for fat grafting. My best advice is to choose the surgeon you feel most comfortable with and who seems to get results similar to what you desire.  
Robert T. Buchanan, MD

Highlands Plastic Surgeon
+1

Fat Grafting and Facelift Surgery

There are several types of facelift surgery and your surgeon needs to customize the technique to address your specific anatomy.  Most patients have loss of volume in their mid face in addition to loose skin.  In most patients, I perform fat grafting to the midface at the same time as the facelift procedure.  However, the procedures are customized to the patient's needs.  Good luck.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Facelift with Fat Grafting

I agree with Drs. Rand and Baxter. When it comes to moderate to severe facial aging the answer frequently is Facelift. As to WHICH Facelift technique is best for you would greatly depend on your examination, your cosmetic goals and your chosen surgeon's experience and preferences. A lot of Plastic surgeons now routinely supplement the results of a Facelift by adding strategically placed fat grafts (which by their very technical definition MUST be placed in multi-levels IF they... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Fat grafting isn't generally necessary for a great facelift

Depending on your starting point, an excellent facelift can give you the result you want with a natural, completely rejuvenated look.  Some doctors do fat grafting on everybody and that isn't necessary and does add to bruising and recovery time.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Fat grafting is common with facelift for a 3-D result

A few basics: Fat grafting = multilevel fat grafting = lipoinjections etc. They are commonly done as part of a facelift because facial aging is a 3-dimensional process, not just sagging skin. Fat disappears from the face, along with sagging of the fat tissues and the other latyers under the skin. Not everybody needs it, but it can be an important part of a natural-appearing result and help avoid the "pulled" look.
Richard Baxter, MD

Seattle Plastic Surgeon

baxterplasticsurgery.com

+1

Facial surgery is an art and beauty is in the eye of the surgeon

Each of us will see a face differently but in general: fat grafting is less durable than repositioning and shifting techniques It is seldom that a patient can have a pure neck lift/jowl lift without needing some repositioning in the face the central portion of the face contributes to the sag of the jowls and also should be addressed You will do best if the surgeon can demonstrate on your face (not on the computer) what his plan is and what his expectations are.... more
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon

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