What is the most permanent way to add volume to my face?

Facial contouring can be divided into three categories. One is long-lasting. This would include Sculptra, radiesse, Restylane lyft and Allergan voluma. Semi-permanent would include fat transfer. Permanent results are seen with bellafill. In my opinion, I would do a hyaluronic acid filler first to see if you enjoyed the results. If that is the case, then you can consider doing a longer-term product. Should you not like the results, it can be removed with a hyaluronidase. 

sowhat976.   Fat transfer from the tummy or thighs to the face is an excellent option for people of all ages. Younger patients can enhance their cheekbones or lips with fat that is natural and long lasting. As we age, our face deflates, losing fat, causing sagging skin to look more obvious. Fat grafting to the face rejuvenates the face with biological filler, your own fat! I frequently use fat transfer to my facelift patients to enhance and prolong the result. Depending on the individual, one treatment does the trick, but sometimes secondary touch ups are needed.  Be sure to consult with a board certified plastic surgeon. Good luck!

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Fat grafting to the face can be very effective for the right patients.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon