Fillers or Fat Transfer Pros and Cons

asked 1 year ago by FSRB
Latest answer by Michael Law, MD
Question viewed 966 times
Tags: age 35-44, face, female, comparison

Which method is the safest and easiest to manipulate? I am not ready for a facelift (mid 40s) but would like the same effect. I have a pretty think face. I need volume in cheeks and temples. Maybe under the eyes but I understand this is difficult. I like the idea of fat transfer because it a natural filler as I am worried about the rejection rate of fillers.

7 answers to Fillers or Fat Transfer Pros and Cons

Face lift VS Fillers

If your problem is loss of fat (Deflation) then the treatment is fat transfer. If there is aging, deep nasolabial fold, jowles, etc then you need a face lift. Some people will benifit from both. It all depend on analyzing your face and the aging process. Look at pictures of you 10 years ago and 20 years ago. That will give you an idea of how, where you are aging. See a BOARD CERTIFIED PLASTIC SURGEON(AMERICAN BOARD OF PLASTIC SURGERY), To help you with the analysis and... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Fat Grafting vs. Fillers

One guiding principle of reconstructive plastic surgery is short and simple: "Replace like with like." Specifically, where tissue is missing, restore the defect with the same tissue whenever possible. If bone is missing, use a bone graft. If muscle is missing, use a muscle flap. So if fat is missing, the ideal solution is obvious. Whether the goal is to restore volume to the lips or cheeks or temples, or to fill in a crease or depression such as the nasolabial folds or... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fillers vs fat grafts for the face

As Dr. Placik has said, you might try a round of temporary fillers and if you like the effect, you could continue to do these and adjust the areas needed as you age. Avoid permanent fillers at all costs as they have potential uncorrectable complications. Know that fat grafts don't always take and sometimes too much takes so this is not as easy as it sounds. Also, no filler regimen will give you "the same effect" as a facelift. Just not possible. ... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Fillers v. fat

You missed the point of fillers. they are not lifters. they are volumizers. Sculptra is the most similar in effect to fat while the other fillers are more "fold" and "line " treatments. the main adv of fat is the price per cc of material. you have a large surplus and especially for facial fill there is usually more than enough. Fat also can be used just about anywhere on the body. fat is potentially permanent and "stem"cells may be benficial but the... more

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Fillers vs. Fat transfer

While an in-person consultation would be required, I think that fat transfer to the cheeks, temples, and under the eyes is a great procedure. I tell my patients that about 30-40% of the injected fat lasts long term, requiring overcorrection initially. I think that for broad areas that need volume augmentation, fat is great. You could use several vials of injectable synthetic fillers, but often large quantities are needed, and I believe they resorb faster than your own... more

Anurag Agarwal, MD
Naples Facial Plastic Surgeon

Fillers or fat injections for facial volume

It is important when answering your question to be evaluated in person. There is a three dimensionality that must be evaluated as well as the condition of the skin and dermis, the roundness of the face, and adjacent areas that may have dropped. If there are focal areas such as smile folds or small indents, then the fillers such as Restylane, Perlane, Juvederm, Radiesse can be used. When more volume is needed, or deeper placement, then Radiesse, Fat Injections and Sculptra can be done.... more

Ronald Shelton, MD
Manhattan Dermatologist

Fillers versus Fat....And the winner is......

The rejection rate of fillers is not a common problem. The techniques for injection and the cost may be greater concerns. The advantage is that Hyaluronic based fillers have the advantage of adjustability and actual reversibility with off label use of hyaluronidase. This is an over simplificaiton and after a thourough evaluation and consultation, a better recommendation could be offered. Following the use of fillers and if you appreciate the appearance achieved, you could consider... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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