How Soon After Fat Transfer to the Face Can I Inject Radiesse?

Wait a minimum of 3 months before making a decision on the need for further filler, such as Radiesse.  I know that patience is difficult at this time, but waiting is the smart thing to do.  Be sure to discuss your concerns with your surgeon.

Yes, you can go ahead with it now since you want more projection. You may need more filler later if the fat goes down even more, but that is not a problem.

It would be one thing to inject a finer filler in places that the fat injections didn't treat, but I would recommend that you wait a few months before adding to the fat injections in the same areas to allow it to heal and reveal its new volume better.

Wait at least 3 months following facial fat grafting prior to even contemplating addtional volume correction. Performing this prior to that could produce secondary deformities when the surgical swelling resolves.

I would echo my colleagues advice to wait several months for edema from fat transfer to resolve before injecting dermal filler. If you're interested in midface improvement and some softening of the nasolabial folds then deep, depot injections of Radiesse over the cheeks can dramatically improve volume. This effects last about 9-12 months.
Best,Stephen Weber MD, FACS

I'd wait 6 weeks until most of the swelling is gone and volume deficiency is determined.  Hope this helps.

 

Dr. G

You may want to wait at least 3 months after your fat graft procedure as your results may still change. Adding a long term filler now may give you results that will be hard to reverse later. Have patience and discuss with your fat graft doctor first.

Sorry, I have a completely different opinion on this matter.  I have done a careful evaluation of fat grafting and I see that there is a dip over time then improvement over a year to 2 years.  now this really refers to my patients not to anyone else's.  those who do not get good fat take probably just treat it like restylane and that it would go away.  but then why not just do restylane?  i look at fat grafting as a permanent graft that gets blood supply and STARTS to look good somewhere between 6 months to a year.  watch the attached video in which i talk about how i use a hair transplant model to understand the evolving changes with fat grafting over time.  plus i linked to my website in which i show these evolving changes that occur over time with my fat grafting.  please understand these principles i believe are universal but only for those surgeons who are getting long-term results not for those who do not.  hope that helps.

best,

dr. sam lam

I would wait until most and if not all of the edema resolves which could be several months prior to radiesse injection.  About 50% of fat grafts will absorb and may require additional treatments.  Talk to your plastic surgeon about additional fat transfer within the next several months.

Fat grafting is the process of taking living fat tissue, removing it from its blood supply and transplanting it into a new area of the body where it will need to develop a new blood supply to live.  We know from experience that not all of the fat that is transplanted will live.  The fat that does not is absorbed by the body and the amount of correction is reduced.  How much of the graft is lost varies widely and for this reason, plastic surgeons have been reluctant to offer fat grafting in the past.  The techniques and equipment have improved and so the results are better but still there will be some loss of initial volume.  In my experience, this will take about 3 months to fully reveal itself.