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What is LiveFill (R) and Why is It Better Than Your Own Fat or Restalyne for Tear Troughs?

One of the doctors said that LiveFill(R) was better to use in the tear troughs than your own harvested fat. What is LiveFill(R) and is it permanent? Is it also better than Restalyne for this area and if so, why? In other words I want to use the safest, most effective method to correct this area and there seems to be various opinions but only one doctor mentioned LiveFill(R) so I'm curious as to what it is and how it is different from other options.

Doctor Answers 5

Livefill is a proprietary name attached to a fat and dermis grafting process.

If you can't invent something new, coming up with a catchy name is almost as good.  Livefill is just a trade name for a fat and dermis graft.  The developer of the method claims the fat is removed intact and is less more likely to survive.  There are no adequate scientific studies that really answer this question.  Is Livefill better than Restylane?  Well livefill requires a surgery.  This means definite healing and recovery issues both for the area at the bottom of the tummy where the fat and dermis is harvested and also where it is placed in the face.  Any living graft is associated with the risk of bruising, infection, irregularities.  Irregularities that persist may require additional surgery to address.  If you gain weight, your grafts may gain weight.  Longevity of the grafts?  What takes survives.  However, due to the swelling associated with the surgery it is likely that you may feel that not all of the volume has persisted once the swelling settles down.  You might feel you need more volume to address this.  Compare these uncertainties with Restylane.  The service is provided without surgery as a very comfortable office treatment.  The treatment lasts over a year, possibly longer.  Downtime is about a day or so, although it is possible to bruise from treatment.  If the treatment needs to be adjusted for any reason, an injectable enzyme can be used to modify the treatment.  These fillers are very popular because the results are at least as good and in many cases far better than what can be accomplished with surgery.  Ultimately you have to decide for yourself what is best.  Just be aware that many of these services whether we are talking about fat and dermal grafting or filling with Restylane requires an artist eye to get the best results.  These are not commodity type services where the treatment results are the same irrespective of the surgeon doing the service.


Los Angeles Oculoplastic Surgeon
4.5 out of 5 stars 21 reviews

LiveFill, NaturalFill, etc, are new additions to long list of Cute Marketing Gimmicks

Hi there-

Unfortunately, there are doctors and clinics in the world who believe it is ethical and moral to mislead people into thinking they have somehow captured magic in a bottle or that they are the only ones capable of a certain procedure or benefit- by giving their procedure a cute name. Some even copyright these names- so that they can say "you can only get it from me"...

When the reality is that whatever they are doing has been being done by other surgeons for years.

Personally, I think Restylane is the current gold standard for improvement of the tear trough deformity. It's effective, easy, inexpensive, last a relatively long time, and does not require surgery or a recovery period.

Finally, I would add that my opinion is that good medical care (whether we're talking about heart surgery or cosmetic treatments) requires finding responsible, ethical, professionals- people you believe you can trust to make good decisions and "do the right thing".... Personally, I would have a very hard time bringing myself to trust someone I knew was resorting to these kinds of tactics to try to attract patients.

What is LiveFill (R) and Why is It Better Than Your Own Fat or Restalyne for Tear Troughs?

 LiveFill(R) is reported as a fat-fascial graft that's taken from the pubic area and placed into areas of hollowness of the face.  I wouldn't use or recommend this tissue/fat combo graft for the face as it would, IMO, have the same limitations as a fat transfer or fascia graft transfer which are not new and have been around for decades.  Both fat and fascia do dissolve with time, IMHO and I see no reason that this wouldn't do the same.  

 The problem with this type of combo graft taken from the pubic area, IMO, is that hair follicles are sometiomes included in the graft and I have seen patients with pubic hairs literally growing out of thier lips from a similar graft placed elsewhere (I don't recall the Surgeon who placed the graft).  Needless to say, this very attractive young woman, in her twenties was not happy that she had to pluck hairs from her lips.

Using fillers and cheek implants for facial augmentation, is more reliable than fat, fascia or a combination thereof IMHO and why take risks when there's a proven more reliable method of accomplishing the same goal? 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Augmentation of Tear Troughs

The LiveFill , a graft of fat and fascia which was described many years ago, is one method of augmenting the undesirable tear troughs. There is no scientific scientific evidence that it is better than other alternatives such as your own fat or fillers. Potential risks include problems with survival and the possibility of an irregular contour after placement. Success with all these procedures will depend on the experience of your physician.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

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.