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Only on the basis of in person consultation one could give you a meaningful answer. There is no doubt that in experienced hands micro and nano fat grafts are better than most fillers but sometimes that may not be enough. In person consultation with a board certified plastic surgeon with long experience with fat grafting is recommended. Good luck.
It’s hard to interpret the pictures you’ve included.Before contemplating doing a permanent treatment on someone’s face we have to understand what the underlying problem is.HA fillers typically will go away and if fillers created problems, then I don’t see why adding more volume would be a solution.You have to tell us what area you think you need volume restoration, what area was treated and if you think there is still volume left from your initial treatment or what the problem is.If your provider took before, and after pictures, then those would be very important.If you think you were disfigured by having HA fillers with subsequent reversal, then you should probably not have facial fat transfer.I also don’t see a clear indication for facial fat transfer based on the pictures you’ve included.I don’t see any disfigurement, but if previous treatments left, you feeling disfigured, then hold off on having plastic surgery treatments.Best,Mats Hagstrom, MD
Fillers would likely be what I recommend to try first. Fat grafting is also an option here but I'm a fan of starting off with nonsurgical interventions whenever possible. You can also consider combination treatments such as fillers + radiofrequency skin tightening, for example.
The human phase is fairly as symmetric in all people.The primary asymmetry is usually in the skeletal structure and not soft tissue coverage.Attempts, correcting asymmetry with soft tissue manipulation typically just creates two different asymmetries.Without including proper before and after...
From the pictures you’ve included, which are somewhat limited. I see no indication for surgical intervention. Best, Mats Hagstrom, MD.
