Do u need Fat Transfer to do a Mini Facelift?

Question

i am 50 and considering doing a bit of neck and jowls and readjusting my cheek pads ? fat transfer I did a little last year and only lasted about 3 months? is this normal?

Franklin D. Richards, MD · Answer

A mini facelift will help the neck and jowls and can be done with small incisions. Fat transfer to the cheek pads can be very helpful in giving you several years of corrective fulness. Fat grafting done in a precise manner using specialized mainstream techniques can be extremely effective in correcting flattened cheek pads in the malar area.

Jed H. Horowitz, MD, FACS · Answer

Fat grafting and mini faceliftsEvery operation should be individualized. Three areas need to be considered . The first is laxity of skin and muscle which the facelift corrects. The next is a volume which the fat improves when needed. Finally, the surface of the skin should be evaluated for texture Color

Cameron Chesnut, MD, FAAD, FACMS · Answer

As our face ages we lose volume, tissues descend with gravity, and our skin accrues photodamage in the form of pigment, fine wrinkles, blood vessels, etc.  Volumizing with fillers and fat is aimed at the loss of volume, whereas lifts are really just redistributing tissues back up to where they used to be.  You can do them at the same time, you can do them separately, it doesn't matter, but it's likely you can benefit from both (and addressing your skin aging) since all those three facets of aging tend to happen together.

John Michael Thomassen, MD · Answer

No, you do not need to do fat transfer as part of a mini lift.  It is advised when you have a paucity of soft tissue so it can complement the final result.   Fat take can be a bit unpredictable, and a patient may become undercorrected in few months.  This is due to variablity in resoprtion in different individuals.  Frequently, with one touch up the one can achieve a good result.  Best wishes!

David Hansen, MD · Answer

Getting a face/neck lift is so easy to undergo when it is done under local and is really a full lift with lasting results for roughly $8800 on special. Fat grafting or injections are so unpredictable that it is not usually done during most lifting procedures. Sincerely, David Hansen,MD

Harold J. Kaplan, MD · Answer

It sounds like you can benefit from a minilift but without photos the question of what is happening in your neck as well needs to be considered. If you have some limited neck issues you may be a candidate for a Wonderlift which helps the neck as well and has the same amount of downtime as a minilift but delivers more result. I am not a big supporter of fat grafting as your experience is more common than many of my colleagues are willing to admit. I have found that the judicious use of injectable fillers after facelifting is advantageous and actually works better a few months after surgery rather than at the time of surgery. Good luck in your investigation.

Bryson G. Richards, MD · Answer

Thanks for the question.A mini-facelift will give a more powerful result for the jowls and neck than just using fat alone. I usually always transfer fat when doing a facelift. The facelift will rejuvenate the neck, jaw line, and lower cheeks. The fat will then help to augment the cheeks, blunt the lid/cheek border, and help to fill the nasolabial folds. I also think that the fat transfer helps the overlying skin as well, but not everyone would agree with that.If your physician is willing to transfer the fat when doing the mini-facelift. I would go for it!I hope this helps. Congratulations on moving forward with your facelift.

Jonathan Kulbersh, MD · Answer

The take or lasting of facial fat grafting can be variable based on:1)  Your general health2)  The health of the area in the face the fat was transferred3)  Technique of the transferFat grafting should last longer than 3 months.  I would review your before and afters to ensure that you do not have a result.I frequently perform a mini lift and fat grafting at the same time.  It is safe and effective.I hope this helps.

Gustavo A. Diaz, MD · Answer

Hi Lilly20,Lets start by stating that without photographs or an person to person consultation is difficult to evaluate what you may need.Fat grafting should last more than 3 months, but take into consideration that at that time you did not had a face lift or mini facelift, so the result of the fat grafting might be hidden or obscured by the droopiness of your cheeks. During a formal consultation with your Facial Plastic Surgeon or Plastic Surgeon this could be evaluated. During your consultation I can evaluate the factors that may have contributed for your fat grafting not be as good as you expected.I frequently perform mini lifts or full face lifts with fat grafting at the same time. Combining these procedures have been proven to be safe, cost efficient for the patient, and an successful combination. Hope this clears your questions.Dr, Diaz

Luis A. Cenedese, MD, FACS · Answer

A mini facelift will only result in minimal temporary improvement in the jawline and cheeks.Tightening of the neck skin requires a direct approach to the neck.  Options include the Precision Tx internal laser to improve the wringling, tighten the neck and reduce jowls. Liposuction of the submental region and jowls will tighten and smooth these areas.  Botox or excision of Platysma muscle bands will improve subcutaneous banding.  A neck lift will tighten neck skin; some patients are dissapointed due to recurrence of the fine wrinkles under the chin.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Do u need Fat Transfer to do a Mini Facelift?

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