What are the nanofat long-term risks and can fat transfer anywhere else? (Photos)

Question

Hello, just got upper eyelid surgery done was planning to get low blepharoplasty as well, but my doctor said I have sunken in under eyes and not bags. Therefore I'm not a candidate. Dr said nanofat will be a better option which makes sense. My question is what are the long term risks? I see a lot of people & Doctors speak against it because of the lumps and other physical side effects. Can the fat transfer to anywhere else besides where it's placed? Just need some true clarity, thanks in advance

Richard Baxter, MD · Answer

Nanofat is more for rejuvenation than for adding volume, but I presume there will be some microfat placed as well. nanofat is very low risk for long term issues, microfat can get a little bit lumpy but if it is placed deep enough this should not be a problem.

Tim Neavin, MD · Answer

I do quite a bit of fat transfer under the eye.  I used both nano fat and micronized fat.  I have never seen lumps under the eye.  I harvest with a cannula that is very small.  This allows very small droplets to be injected.  If they are injected in the right plane in the right technique it is unusual to get lumps.  And in the worst case scenario, if you got a lump it is generally very easily treatable.  Nonetheless, I do recommend he see in experience plastic surgeon who does a lot of fat transfer for the most natural, predictable, and permanent results.

Jason Emer, MD · Answer

Seek out an expert in the field for a full evaluation and run-down of any side-effects. Harvesting is important to fat transfer. I use water-assisted fat harvesting which gives pure fat to transfer and combine with platelet rich plasma (PRP) to get the most viable and sustainable fat cells. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Anmol Chugh, MBBS, MS, MCh · Answer

Hi, nanofat doesn't add volume. In your case I would suggest to go for MICROFAT transfer to support the sunken lid and and Nanofat just under the skin to improve pigmentation.

Mats Hagstrom, MD (license on probation) · Answer

Fat that has been transferred does not migrate neither do fillers.

Fillers are easier to work with, more predictable and far more forgiving if done incorrectly.

You’re lower eyelid volume looks reasonably good but volume enhancement in this area can often give a good improvements.

It is a technically tricky area to work in where those with superior skills and experience get more consistent and superior results.

In the end it’s a free world and it’s up to you what you choose based on providers recommendations.

It’s always a good idea to get multiple opinions through thorough in person consultations.

Good luck,

Mats Hagstrom MD

What are the nanofat long-term risks and can fat transfer anywhere else? (Photos)

Answers (5)

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