Facial fat transfer. Is it possible that I will lose fat from stress? Are PRP and vitamin C optimal for fat survival? (Photo)

Question

I'm injecting fat to fill cheek deficiency, wrinkles, & build up cheek apples & jaw. I'd like to get really smooth skin with fat, rather than hyaluronic acid, & need advice on how many & which superficial/deep fat pads can be filled for good shape, & longevity of procedure? I also wonder if PRP & vitamin C are optimal for for fat survival? My doctor will take belly fat, which I have from stress. Because it's cortisol fat, is it possible I will lose it from my face, when stress is lessened?

Jason Emer, MD · Answer

You need a formal evaluation from your physician. Seek out a facial sculpting expert. They'll be the ones to consult any of your concerns and customized plan.

Mats Hagstrom, MD (license on probation) · Answer

I’ve never read a study showing that chronic  stress changes his fat distribution but cortisol can create all kinds of long-term problems.

Your face is thin and you don’t have much post tissue to support any significant volume of grafted fat.

The survival of the graft is a large part determined by the amount and quality of host tissue as well as technique used.

If you have 2 mm of host tissue then you can expect 2 mm of fat to survive.  if the adjacent area has 4 mm of host tissue then you can under ideal circumstances get 4 mm a fat to survive.

This is one of the many reasons why fat transfer results are Somewhat unpredictable and can leave undesirable results. Fillers are not dependent on host tissue to support the volume enhancement and are therefore a much better option.

If you’re going to work with grafting fat then I suggest approaching conservatively and gradually building up the volume. It wouldn’t be a bad idea to let the provider do one go around with standard HA filler so you at least know that you like the outcome in their hands in regards to their aesthetic and technical competence.  At least HA fillers go away if you don’t like the results.

Otherwise I think these are all questions you should bring up to your provider.

Best,

Mats Hagstrom MD

Facial fat transfer. Is it possible that I will lose fat from stress? Are PRP and vitamin C optimal for fat survival? (Photo)

Answers (2)

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Facial fat transfer. Is it possible that I will lose fat from stress? Are PRP and vitamin C optimal for fat survival? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Facial Fat Transfer

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