Fat loss on forehead due to trauma. What should I do? (Photo)

Question

I recently had an accident on my forehead, causing severe fat loss on my forehead, brows, and eyelids. It's to the point where my muscles on my forehead show and my bones you can see the contours of my skull and every indentation due to fat loss. Now I have nothing but skin & bones. I'm only 31. I did a full face graft once and it lasted two years. Will fat grafting correct all the new problems? My worry is that my skin is very naturally delicate and thin. What should I do?

Jason Emer, MD · Answer

All different types of fillers can be used to treat this, I like Radiesse or Bellafill but fat can be used if it is injected properly with a cannula. I suggest finding a well trained physician for this. Best, Dr. Emer.

Toby Mayer, MD · Answer

Having done fat grafting for more than 35 years with excellent results I feel that the results are definitely injector D pendant. If properly done what you see there at three months will last essentially forever.The fat must be concentrated and the only problem is differential results on an area as large as the four head where the fat me aggregate in certain areas due to sleeping etc. See an experienced surgeon for this.

John Mesa, MD · Answer

Facial fat atrophy secondary to trauma could be corrected with fat transfer to the area. One of the risks of fat transfer is reabsorption of the fat several years after transfer.  Although of-the-shelf fillers could be used to correct soft tissue defect irregularities with an off-lable-use, these fillers also have a short longevity (1 to 2 years).Patients that underwent facial fat atrophy correction with fat transfer that has "disappeared" may benefit from a re-do fat transfer. When performed with a delicate technique ( minimal manipulation of the fat), the transplanted fat may stay viable for several years.

Barry L. Eppley, MD, DMD · Answer

There are several options to consider for your forehead and brow. There are hard and soft tissue augmentation methods but your very thin skin tips the balance towards additional fat grafting efforts. You may also want to consider the use of allogeneic dermis to thicken up the thin dermis of the skin. Your condition is treated very similar to that of the craiofacial syndrome, linear scleroderma, which often affects the forehead.

Fat loss on forehead due to trauma. What should I do? (Photo)

Answers (4)

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