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Facial filler or fat transfer for gaunt face? (Photo)

I've always had a weak jawline. A few years ago I did neck/chin lipo and chin implant. The results are decent however my lower face looks so gaunt. When I press my finger on the side of my face it 'fills' in the fat loss areas. My question is, which filler is best? Average amount needed total to recieve the results I want. Would fat transfer be better long term and will it last? Thank you.

Doctor Answers 2

Fillers

July 14th, 2016
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Fat transfer is harder control and more unpredictable in my opinion. I would use a combination of Juvederm Voluma and Teosyal RHA 4 layered over the top with a cannula to the cheek area to get a natural lift. You do have quite a bit of laxity so you could use anywhere between 3-6ml to get the result you like.

Sarah Tonks, BDS, MBBS


London Physician

July 14th, 2016

Fillers

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Fat transfer is harder control and more unpredictable in my opinion. I would use a combination of Juvederm Voluma and Teosyal RHA 4 layered over the top with a cannula to the cheek area to get a natural lift. You do have quite a bit of laxity so you could use anywhere between 3-6ml to get the result you like.


London Physician

Long Lasting Filler

July 10th, 2016
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For longest lasting results I like Bellafill or Sculptra.  There are advantages and disadvantages of both of these fillers.  Although I occasionally recommend fat injections, i don't typically use it along the cheekbones.  Radiesse is an excellent mid-lasting filler for the cheekbone area.  

Approximately 2 cc's on either side of the face would give you a fill similar to what you are demonstrating.  That would coincide with a little less than one "kit" of Bellafill (approximately 5000.00 for 5cc's), and around three vials of Sculptra (approximately 3300.00).  The Radiesse is considerably less expensive, but doesn't last as long.  

Your best approach will be to make an appointment with a Physician that is experienced in injecting all of these fillers to discuss your options.  Good luck.
Marilyn Pelias, MD

Marilyn Pelias, MD
New Orleans General Surgeon
5.0 out of 5 stars 15 reviews

July 10th, 2016

Long Lasting Filler

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
For longest lasting results I like Bellafill or Sculptra.  There are advantages and disadvantages of both of these fillers.  Although I occasionally recommend fat injections, i don't typically use it along the cheekbones.  Radiesse is an excellent mid-lasting filler for the cheekbone area.  

Approximately 2 cc's on either side of the face would give you a fill similar to what you are demonstrating.  That would coincide with a little less than one "kit" of Bellafill (approximately 5000.00 for 5cc's), and around three vials of Sculptra (approximately 3300.00).  The Radiesse is considerably less expensive, but doesn't last as long.  

Your best approach will be to make an appointment with a Physician that is experienced in injecting all of these fillers to discuss your options.  Good luck.

Marilyn Pelias, MD
New Orleans General Surgeon

*Treatment results may vary

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.