Fat transfer to lower face after Morpheous8. What are the risks and will this be sufficient?

Question

After suffering from fat loss following morpheous8 I’m looking at how my loss can be improved. There’s hollows from the side of my chin and under my cheeks and jaw. If a fat graft suitable in these areas of the lower face please and what are the risks specifically in the lower face

Tim Neavin, MD · Answer

Yes, fat transfer has become the gold standard to treat RF induced fat loss.  Most of the time, one session is sufficient.  However, given the depth of injury one make require more than one session.  The good news is that  fat transfer in experienced hands works well.  The fat must be collected and processed properly to ensure fat cell survival, and injected in the right amounts and areas for adequate volumization.

Zoran Potparic, MD · Answer

Contouring of the facial area is best achieved with soft tissue fillers or fat grafting. Only on the basis of in person consultation, a board certified plastic surgeon with extensive experience in fat grafting, could give you a better idea of what is best option for you. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Unfortunately radio frequency treatments can be unpredictable and then certain individuals can cause significant loss of volume.
You are certainly isn’t the first case of this.
Facial fat grafting is fickle, unpredictable and technically difficult.
There are many drawbacks and difficulties with the procedure. To start with fat survives based on what areas have the most abundance of host tissue to support the graft. this means the graphs are more likely to survive when you don’t need them and will not survive as well what do you need them.
For that reason in order to get a good outcome the surgeon needs to estimate how much to over graft in areas where fat loss was the greatest and fat graft survival is highly unpredictable. fillers are by far more accurate predictable and certainly more forgiving if the results don’t turn out the way you would like.
We all recognize that someone in your situation may not be motivated to go in two or three times a year and thousands of dollars per treatment to maintain restoration after having been left disfigured or due to a undesirable side effect.
If you want to pursue fat transfer then the first step is finding the most talented and experienced provider.
Delivering consistent quality liposuction and grafting results is far more difficult than most people believe and this includes a substantial number of plastic surgeons.
Being board-certified with an overall good reputation does not in anyway guarantee that someone has mastered either Liposuction or fat transfer.
I recommend you be highly selective and vet providers thoroughly before you continue to move forward. I recommend doing that by scheduling exclusively in person consultations avoiding virtual consultations.
During each consultation ask each provider to show their entire collection of facial fat transfer before and after pictures.
Being shown a handful of sample pictures is insufficient to get a clear understanding of what the average results look like in the hands of each provider.
On top of this you will need to get absolute confirmation of how long after the procedure the after pictures were taken. after picture is taken less than 3 to 6 months from the date of the procedure may look very impressive but do not represent the final results.
Ask the provider to show a variety of outcomes including excellent outcomes, average outcomes and less than outcomes. In my opinion the best approach is to graft conservatively with the understanding that it’s better to gradually build up the fat layer conservatively then risk over treating ending up with an even worse problem than before. By Grafton conservatively you’ll get an idea if the treatment is working and if the provider is doing a good job. 
Two or three sessions a fat transfer is probably correct in the situation like you described. Each one could be done 6 to 9 months apart.
Trying to get it done in a single session puts you at higher risk for undesirable results.
By far the most important variable is finding the right provider. An experienced provider should inherently move forward conservatively or with caution to avoid making things worse.
There’s nothing wrong with doing a trial of fat transfer but if you do you need to really find someone who has done hundreds of previous cases.
When reviewing before and after pictures someone who has experience should be able to demonstrate a collection of before and after pictures that represents their experience. An experience provider should have at least 50 sets of before and after pictures at a minimum.
Continue having consultations until you found a surgeon you feel has the skillet experience and meets your needs and take it from there.
Best,
Mats Hagstrom MD

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