Fat Transfer: Q&A

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What Happens if I Don't Like the Way my Chin Looks with Fat Injections?

I already have a chin implant and its my second one but I have these dents on the side. My doctor wants to place fat injections. I am scared because I believe fat injections are permanent. What happens if I am unhappy? What can I do to get this right. I am now working with a very famous doctor and I had to wait 4 months to finally get to see him. This is what he is suggesting as he does not want me to continue to remove my implant. Should I be comfortable with his recommendation?

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3 Doctor Answers | Asked by NYHOPE in New York, NY

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Facial fat grafting.

My first question is why do you have the dents? Is there a step off deformity that is visible from the implant causing this? What plane is the implant in? To answer you question, I sometimes inject saline in the office to show a patients what it would like filled before commiting to the fat grafting if it is a smaller area. Fat grafting could leave it own set of problems behind but most often can softly correct contour irregularities. 50% of the grafts tend to... more

Chin implant and fat injections

Thank you for your question. You raise a good point about fat injections - they may be permanent. That characteristic is both an advantage and a disadvantage of fat transfer. Dr. Lund's suggestion is reasonable and frequently employed. Your area of concern may be treated with a temporary filler to see if you find the change satisfactory. If you approve of the change imparted by the filler, then a potentially permanent treatment (such as fat transfer) may be employed with more confidence.... more

James M. Pearson, MD

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Los Angeles Facial Plastic Surgeon

www.PearsonMD.com

Chin Implant and Fat Injections

First, are you happy with everything about your chin implant except for the "dents" at the sides? If you like the projection and the position and the profile look it gives you, then you most likely do not need a new implant. Sometimes with chin implants, even the "anatomical" ones, there can be a small visible step-off where the edge of the implant is. This can be particularly a problem in very thin patients who lack the camouflage to hide the implant... more

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