Derma Fillers vs. Fat Grafting with Platelet Rich Plasma: Get the Facts From An Expert Facial Plastic Surgeon


What is a Dermal Filler?

Dermal filler, also known as injectable filler, is a soft tissue filler that is injected into the skin to help skin look younger by filling in facial wrinkles to restore lost facial volume and a smoother appearance. Most dermal fillers work on a temporary basis and are eventually absorbed by the body.

Dr. Kevin Sadati in Orange County, CA uses only the highest quality dermal fillers in his practice. The options Dr. Sadati uses were chosen because they provide patients with the longest and most natural looking results. Two of the most popular dermal fillers used by Dr. Sadati are Juvederm, RADIESSE and Restylane. These dermal fillers are specifically designed for facial rejuvenation. This means that they work well for many of the procedures that Dr. Sadati performs at his practice. Other filler options that he might use include Sculptra and VOLUMA. These options are beneficial in procedures like the liquid facelift and non-surgical rhinoplasty procedures.

What is Fat Grafting with Platelet Rich Plasma (PRP)?

Fat grafting is a long time staple of cosmetic and reconstructive surgery. Fat grafts can be extremely effective in the reconstruction of soft tissue defects. This is particularly true for facial plastic and reconstructive procedures. Fat grafts offer many advantages including being soft and pliable, readily available and able to be harvested with minimal risk. However, there is one significant disadvantage with fat grafting; the unpredictable graft survival rate. Luckily, there is promising new evidence that Platelet Rich Plasma (PRP) enhances the survival rate of the fat graft. Which Dr. Sadati has even proven in a published study of fat grafting with PRP.

PRP is a type of autologous plasma containing a platelet concentration that is five to six times greater than the normal baseline levels. PRP also contains a variety of valuable natural growth factors such as PDGF (Platelet Derived Growth Factor) and TGF-β1 (Transforming Growth Factor β1). These growth factors are important in initiation and progression of healing after the procedure. Research shows that PRP enhanced fat grafts offer higher graft acceptance and retention when compared with traditional fat grafting techniques. PRP contains the body’s natural growth factors and can help fat grafts survive as well as accelerate the healing process.

Fat grafts with PRP are a permanent alternative to temporary dermal fillers and offer a more natural look. Dr. Kevin Sadati has conducted extensive research in the use of PRP with fat grafting. Dr. Sadati is able to easily perform this procedure in the office under local anesthesia and twilight sedation. No general anesthesia is needed for this type of procedure.
Article by
Orange County Facial Plastic Surgeon