Hi, I have never had fillers before. I recently had a consultation with a plastic surgeon for fat grafting to the face. His opinion is that I don't have enough fat to harvest and address volume loss in temples, eyes and cheeks. What dermal fillers will help address the loss of volume in cheeks and around the eyes? Am I a good candidate for upper eyelid filler? Shall I start with 0.5 in all the areas?
June 12, 2025
Answer: Robust HA Fillers Work Well With Durable Results For Nonsurgical Cheek Augmenation Let be start by stating the reasons I gave up performing autologous fat injections many years ago. For one thing, it is expensive. For another it requires large cannulas to extract the fat from the donor areas (usually buttocks, hips or belly), so it is a two step minimally invasive procedure that typically involves a fair amount of post-treatment downtime. For still another, despite the promises to the contrary, most of the fat transplanted to the recipient site does not survive being cut off from its original blood supply. And, finally, and perhaps most importantly, donor fat retains the characteristics of the area from which it is taken, which means that five, ten or fifteen years later, when the fat from the donor areas develops midriff bulge, the fat transplanted in the face can do so, as well--a pretty unhappy turn of events. On the other hand, there are a number of robust HA volumizing and lifting fillers that can be used to volumized the cheeks (which can not only improve the cheeks, but the under-eyes, as well), jawline, temples, etc. and that have immediate and reasonably long-lasting results, can be delivered by narrow cannulas or needles, and engenders little to no significant downtime. You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.
Helpful
June 12, 2025
Answer: Robust HA Fillers Work Well With Durable Results For Nonsurgical Cheek Augmenation Let be start by stating the reasons I gave up performing autologous fat injections many years ago. For one thing, it is expensive. For another it requires large cannulas to extract the fat from the donor areas (usually buttocks, hips or belly), so it is a two step minimally invasive procedure that typically involves a fair amount of post-treatment downtime. For still another, despite the promises to the contrary, most of the fat transplanted to the recipient site does not survive being cut off from its original blood supply. And, finally, and perhaps most importantly, donor fat retains the characteristics of the area from which it is taken, which means that five, ten or fifteen years later, when the fat from the donor areas develops midriff bulge, the fat transplanted in the face can do so, as well--a pretty unhappy turn of events. On the other hand, there are a number of robust HA volumizing and lifting fillers that can be used to volumized the cheeks (which can not only improve the cheeks, but the under-eyes, as well), jawline, temples, etc. and that have immediate and reasonably long-lasting results, can be delivered by narrow cannulas or needles, and engenders little to no significant downtime. You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.
Helpful
June 12, 2025
Answer: Dermal filters are the perfect choice! Dermal filters are the perfect choice to restore volume under the eyes and the cheeks. Under the eyes we like hyaluronic acid fillers like Restylane or Vers. In the upper perimeter of the face and around the mouth is best to inject a combination of filters and combine hyluronic acid fillers with calcium based filler like Radiesse or Sculpra for biostimulation and elevation.
Helpful
June 12, 2025
Answer: Dermal filters are the perfect choice! Dermal filters are the perfect choice to restore volume under the eyes and the cheeks. Under the eyes we like hyaluronic acid fillers like Restylane or Vers. In the upper perimeter of the face and around the mouth is best to inject a combination of filters and combine hyluronic acid fillers with calcium based filler like Radiesse or Sculpra for biostimulation and elevation.
Helpful