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

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.

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