I've noticed a lot of controversy among many plastic surgeons regarding the effectiveness and longevity of fat grafting/transfer to the face. Does the fat really survive and stay there permanently? Or is it the same as a temporary filler in which it will just dissipate away with time?
Answer: Fat Grafting with PRP Fat grafting results and longevity depends on surgeon's technique and the quality of fat that is harvested. Addition of PRP which is enriched with growth factors will help survival of grafted fat. I have written a paper in 2005 reviewing 500 patients using PRP with fat grafting.
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CONTACT NOW Answer: Fat Grafting with PRP Fat grafting results and longevity depends on surgeon's technique and the quality of fat that is harvested. Addition of PRP which is enriched with growth factors will help survival of grafted fat. I have written a paper in 2005 reviewing 500 patients using PRP with fat grafting.
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Answer: Fat Grafting Longevity Although fat grafting or fat transfer is considered permanent, it responds just like normal fat in the body and will dissipate through natural aging. It is still a superior treatment for restoring volume vs hyaluronic acid fillers.
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Answer: Fat Grafting Longevity Although fat grafting or fat transfer is considered permanent, it responds just like normal fat in the body and will dissipate through natural aging. It is still a superior treatment for restoring volume vs hyaluronic acid fillers.
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November 8, 2016
Answer: Fat grafting and its' longevity This is a great question. The reason you are feeling confused and that there is controversy is because there are academic and stimulated disputes about the percentage of fat that survives, the best way to transfer fat to maximize results and how long the outcomes will last amongst surgeons. The truthful answer is that fat survival is variable in many ways. As I mentioned about the harvest technique, dilution technique, layer of application, blood supply and patient health status are just a few of the variables involved in the success of this procedure. My recommendation is to talk to as many people as possible that have had the procedure (this site is great for that exposure) and meet with a few different surgeons to get a feel of what they can offer you. In my hands fat grafting is one of the most satisfying procedures we perform. Patients are happy, the results can be dramatic and it is a great adjunct to many of the other procedures we perform. Skin texture improves, facia volume improves, and the transition from facial subunits can become harmonous. This is all extremely beneficial. My discussion with patients goes something like this, "Fat take rate can vary. Clinical studies show fat survival ranging from 20-60% in variable locations. I average that out (~40%) when deciding how much and where to inject. An important point is that this results in a slightly overdone look for the first month because I need to inject 10mL for every 4mL I wish to be permanent and use to contour and mold the face." Every patient is different, each subsite has a different blood supply. Whether the fat is placed deep or superficial to the muscle makes a difference. All of these many different variables come into play and cloud the picture of permanent vs. temporary in the sense of how we think about synthetic fillers. Best of luck, DrC
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CONTACT NOW November 8, 2016
Answer: Fat grafting and its' longevity This is a great question. The reason you are feeling confused and that there is controversy is because there are academic and stimulated disputes about the percentage of fat that survives, the best way to transfer fat to maximize results and how long the outcomes will last amongst surgeons. The truthful answer is that fat survival is variable in many ways. As I mentioned about the harvest technique, dilution technique, layer of application, blood supply and patient health status are just a few of the variables involved in the success of this procedure. My recommendation is to talk to as many people as possible that have had the procedure (this site is great for that exposure) and meet with a few different surgeons to get a feel of what they can offer you. In my hands fat grafting is one of the most satisfying procedures we perform. Patients are happy, the results can be dramatic and it is a great adjunct to many of the other procedures we perform. Skin texture improves, facia volume improves, and the transition from facial subunits can become harmonous. This is all extremely beneficial. My discussion with patients goes something like this, "Fat take rate can vary. Clinical studies show fat survival ranging from 20-60% in variable locations. I average that out (~40%) when deciding how much and where to inject. An important point is that this results in a slightly overdone look for the first month because I need to inject 10mL for every 4mL I wish to be permanent and use to contour and mold the face." Every patient is different, each subsite has a different blood supply. Whether the fat is placed deep or superficial to the muscle makes a difference. All of these many different variables come into play and cloud the picture of permanent vs. temporary in the sense of how we think about synthetic fillers. Best of luck, DrC
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November 6, 2016
Answer: Fat Transfer, Final Results? TEMPLES / FACE If the fat is there at 6-12 weeks it stays forever and functions similar to fat where it came from. I suggest PRP/sculptra post fat transfer to maintain the results. Best, Dr. Emer.
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Answer: Fat Transfer, Final Results? TEMPLES / FACE If the fat is there at 6-12 weeks it stays forever and functions similar to fat where it came from. I suggest PRP/sculptra post fat transfer to maintain the results. Best, Dr. Emer.
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November 6, 2016
Answer: Fat grafting? having done fat grafting for more than 35 years and been able to follow my patients for that time I can tell you that approximately 50% of the fat will remain forever. However, it depends on the experience of the surgeon and how the fat is harvested etc. I would not use a otherwise permanent filler since these are difficult to reverse. See a very experienced fat injector can show you excellent results but also discuss complications from this surgery.
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Answer: Fat grafting? having done fat grafting for more than 35 years and been able to follow my patients for that time I can tell you that approximately 50% of the fat will remain forever. However, it depends on the experience of the surgeon and how the fat is harvested etc. I would not use a otherwise permanent filler since these are difficult to reverse. See a very experienced fat injector can show you excellent results but also discuss complications from this surgery.
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