Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Question

Hi i have small irrigularities on thighs and a big whole above my knee after liposuction. i do not have enough fat for a transfer. So i am considering a permanent filler to fill in these irrigularities.. mauybe aquamid or something else... though i heard some people have problem with infection after aquamid ? Normal filler like voluma juvederm, would be to costly, having to correct to often... im looking at a long term solution.. artefill, ellanse. What do you doctors suggest?.

Jason Emer, MD · Answer

With small irregularities, there doesn't need to be a lot of fat harvested to give improvement. I recommend a hi-definition procedure for best results. I use VASER HI DEF with ThermiRF, ultrasound and fat grafting to get the most fat removal, skin tightening, and smoothing, if you're a candidate. Alternatives would be coolsculpting/vanquish for further fat removal, exilis/venus legacy for skin tightening, cellutone/z wave to make the skin smooth, remove scar tissue, and improve the skin's appearance. Fillers like voluma, bellafill and sculptra will last longer.  silicone maybe able as well.  Dr. Emer.

Lawrence Iteld, MD · Answer

Contour irregularities- lumps and divots- are a risk of liposuction. These risks can be minimized by choosing to have surgery with an experienced Plastic Surgeon.When contour irregularities occur, fat grafting is the best way to help correct the problem and typically, we can harvest fat in all but the very thinnest of patients. Unlike a Brazilian Butt Lift, we don't need much fat to correct small defects.I do not recommend use of the currently available permanent fillers anywhere in the body since I have treated many patients with complications, some severe, from these products. If someone wants to use an off-the-shelf product, the hyaluronic acid fillers (Juvederm, Voluma, Restylane, etc) or the poly-lactic acid (Sculptra) products are much safer.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  I would not recommend a permanent filler like Aquamid and would have you steer towards a long-lasting filler such as Sculptra.  This will help your own body build increased collagen to your tissues to help improve upon your contour irregularities.  Hope this helps.

Kenneth Hughes, MD · Answer

Even in the thinnest patients, I have found enough fat to transfer to improve defects.

Kenneth Hughes, MD

Los Angeles, CA

Steven Wallach, MD · Answer

You are best to use fat from your body if possible, The other fillers are not a good idea for this. Best of luck.

Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answers (6)

Answer: Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answer: Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answer: Contour issue

Answer: Contour issue

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Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answers (6)

Answer: Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answer: Fillers best for body? Fillers to correct small liposuction mistakes. Fat grafting not possible.

Answer: Contour issue

Answer: Contour issue

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Recommended reading

Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.