Should I start by Juvederm Voluma and Radiesse before considering full face fat transfer?
Doctor Answers 8
Should I start with injectable products before fat transfer?
Fat will behave differently than Voluma
For one, Voluma can last for up to two years and fat can last forever. Fat has the potential to die and totally reabsorb within weeks to months; Voluma will not go away that fast.
Next Voluma has the ability to actually tack the soft tissues down to the bone, providing more elevation in the soft tissues. Fat is essentially just a volume enhancer.
Lastly, if you need more Voluma, you just pull it off the shelf; fat grafts have to be harvested surgically.
To specifically answer your question, your surgeon is the best resource for you, but you certainly could use fat later if you're not happy with the Voluma. I'd prefer you to just use more Voluma, but you will have options.
Voluma before Fat Transfer
At your young age I have found that Voluma and Sculptra provide wonderful results in filling facial hollows. Fat transfer is quite invasive and not permanent either. Please consult a board certified dermatologist with expertise with these fillers. Best, Dr. Green
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Voluma vs Fat Transfer
Benefits of Voluma
Fillers or fat transfer
Fillers are a great way to add volume without the permanency of fat transfer. They will gradually fade over time and it gives you a chance to play with just how much volume you would like.
Once you and your surgeon are confident in where and how much volume you would like, then a fat transfer can be done.
Voluma for plumping cheeks
Importantly you have decided that you want to restore volume and there are two ways to do it.
If you understand and are willing to have a fat transfer then I don't see the need to try a HA filler first.
Generally however I believe your surgeon's advice is sound and applies to people who have not had fillers before and are not clear on their treatment goals.
Problems that can occur with both filler or fat are asymmetry, lumpiness, bruising, swelling and numbness.
Thankfully these are uncommon.
Having a filler first does not prepare you to have fat later especially since you already have decided what you want to achieve.
The major advantage of a HA filler is that it is reversible and wears off over time so if you end up not liking 'the look' (rare in my experience, most patients cannot get enough!) you will will end up just like your pre treatment self in a few months.
I hope that helps.