Facial rejuvenation - lift or fat graft? (Photo)

Based on the photos presented, there is some malar hollowing which can be corrected with fat grafting. However, malar (or cheek) hollowing is often associated with jowling or loose neck skin, both of which are better address with a cervicofacial rhytidectomy (face and neck lift). More photos or an in person physical exam will determine which procedure is best for you.

Hello ! Thank you for your question l recommend you( rhinoplasty with midface_lift) From these two operations, it will help the eyebrows and eye area to be more attractive and tight, and the nose and face to look more aesthetic and asymmetrical both from the front and the sides.
Thank you ! regards

Thank you for your question and for providing photos. Fat grafting is an ideal solution for treating volume loss in various areas of the face. This facial fat transfer uses your body’s own fat to rebuild volume and enhance natural contours in a safe, natural, non-allergenic way. By restoring volume, the face can appear more youthful with long-lasting results. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your concerns and aesthetic goals and suggest the best approach for you.

Hello @Imperfect83, thank you for your question. From what you can see in the photos it is possible to fill in the nasolabial folds. As for this case, Hyaluronic Acid works best due to the fact that it can be reabsorbed and can be handled better than fat. Fat tends to be more volatile since asymmetry can occur if seeding does not attach or migrate evenly. In the case of the eyes is not posible to see the eyes expression to make an informed recommendation, more information is needed. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

There is no doubt that adding some volume to your face would create improvement. However, whether lifting and volume augmentation is better combination, can be determend only on the basis of in person consultation with a board certified plastic surgeon, expert in facial rejuvenation. Good luck.

Surgically speaking, precise volume restoration with fat is all I would recommend at this point in time. Skin care that includes, sunscreen, Retin A, and hydroquinone as well as routine toxin are necessary as well.

Thank-you for your query. While there are different ways of addressing facial aging, the most important factor is what your own objectives are . In your situation , I often recommend some kind of non surgical facelift, like HIFU or Thermitight along with autologous fat grafting. A mid face lift is a good surgical option as well. Please discuss all options available with your Board certified Plastic surgeon and make an informed decision based on what you are looking for. All the best. !

I must see 3 or 4 new consults each week of patients who have had facial fat grafting and regret this decision. Only 50% of the grafted fat survives. The balance becomes scar tissue that damaged the gliding function of the delicate facial planes. This means that they way your face moves when you smile will be permanently changed and not in a favorable way. Smile lines become loose their delicateness and develop a thick, ropey character. This cannot be reversed. The fat can clump and cause unwanted lumps and irregularities. The donor fat behaves like the donor site. If you gain weight, your face gains weight. I see many people who develop round faces like the character from the Botero paintings. Surgeons place fat and love it because it is free filler for them. Don't do this to yourself. Only use high G prime hyaluronic acid. filler that can be removed as needed.

A midface lift can be performed from a small incision in your temple. Sometimes an endoscope is used. It can be performed under local anesthesia in the office, or IV "twilight" anesthesia can be used in a licensed surgicenter. It lasts about (on average) 7-12 years. It lifts the cheek and nasolabial fold. There are examples on our website. It can be called a cheek lift, but should be done along the lining of the bone (subperiosteal).

Hi, Imperfect83! Thank you for your question and photos.
We, plastic surgeons love fat injection, because it provides facial restoration in an organic way and gives a fresh appearance with stem cells inside. However, it may not be enough for every situation.
It is not uncommon we combine fat injection procedure with an endoscopic temporal lifting with brow tail-lift and a midface lift. This looks like your need to achieve your desired look. An upper blepharoplasty may also be needed for a fresh eyelid appearence.