Hi. I spent a huge amount of money getting a full face fat transfer that pretty much entirely disappeared. I ended up with a dent in my cheek when I smile where the fat didn't take and my temples/under eye areas are still as volumeless as when I started. My Dr. said if I put a little Restylane in the dent it would fill it up permanently, but everyone who does fillers says this is nonsense Can I do Juvederm or Restylane (or is it the same thing) for these areas? How long will it last?
May 14, 2013
Answer: Fat Transfer to Face
Fat is quite good and I am surprised to hear of your problems. There is no guarantee with fat but it should substantially survive if properly done. Fat is not easy. The harvest needs to be gentle. The fat must be centrifuged. Only the lower portion of fat carries the preponderance of stem cells. Gentle technique is a must. The injection must be in a snowstorm pattern. Swelling is considerable and bruising takes 3 to 4 weeks to dissipate. So the timing is considerable. Harvesting fat and transfer to facial area takes 3 to 4 hours in an isolated surgery. Generally 30 to 120 cc of treated fat is needed. I believe areas of stable fat are the best donor sites and this excludes somewhat the stomach. I prefer arms or flanks and feel take is better. So here are a few ideas. Juvederm and Restylane are temporary always. My Best, Dr C
Helpful 1 person found this helpful
May 14, 2013
Answer: Fat Transfer to Face
Fat is quite good and I am surprised to hear of your problems. There is no guarantee with fat but it should substantially survive if properly done. Fat is not easy. The harvest needs to be gentle. The fat must be centrifuged. Only the lower portion of fat carries the preponderance of stem cells. Gentle technique is a must. The injection must be in a snowstorm pattern. Swelling is considerable and bruising takes 3 to 4 weeks to dissipate. So the timing is considerable. Harvesting fat and transfer to facial area takes 3 to 4 hours in an isolated surgery. Generally 30 to 120 cc of treated fat is needed. I believe areas of stable fat are the best donor sites and this excludes somewhat the stomach. I prefer arms or flanks and feel take is better. So here are a few ideas. Juvederm and Restylane are temporary always. My Best, Dr C
Helpful 1 person found this helpful