Can a "liquid lift" generally done with voluma or radiesse also be done with good results using a fat graft?

Can a "liquid lift" generally done with voluma or radiesse also be done with good results using a fat graft to the cheeks, under eyes and prejowl? Will it lift along with add volume the same as a filler?

Doctor Answers 14

Liquid FaceLift

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Thank you for your question. A Liquid Facelift uses dermal fillers such as Restylane and Bellafill which help your wrinkles dissipate and any sunken areas of your face. Fat grafting is not a very common procedure with Liquid Facelift. Please make sure to seek treatment from a board-certified dermatologist. 

New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Liquid lift with Injectables vs. Fat Graft

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Thank you for your question.Fat grafting is not done as commonly for facial liquid lift because of more unpredictability and non-reversibility compared to traditional hyaluronic acid based fillers.  Liquid lifts with fat is VERY technique dependent, even on how the fat is harvest and processed before injecting.  Personally I prefer using FDA approved fillers like Juvederm, Restylane, Radiesse, and Sculptra in a layered, customized approach as I can give patients beautiful natural results without some of potential side effects and unpredictability of fat grafting to achieve a liquid lift.  Your provider’s level of comfort and experience with these procedures is most important.  Be sure to seek out a board-certified expert injector

Annie Chiu, MD
Redondo Beach Dermatologist

Liquid FaceLift

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A liquid face lift is typically injections with fillers and toxins.  Some surgeons have used fat transfer or fat grafting to add volume to the face and there is also the Vampire Facial.  For fat grafting, I recommend consulting with a board certified plastic surgeon on fat transfer since it involves removing fat from the body.

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Liquid facelift vs fat grafting

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Fat grafting is a wonderful and long-lasting alternative to filler - it brings in new blood flow and the fat that survives will be there forever.   Fat is soft, however, and therefore best suited to filling the hollows under the eyes and in the cheek area.  Although it can give some improvement over the zygoma or in other areas where increased projection is desired, the fillers with high Gprime (stiffer) like Voluma and Radiesse are ideally suited to this goal, and have a slight advantage.  Of course, combination treatments are also possible to get the best of both worlds.  

Robert Peterson, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 26 reviews

Liquid facelift can use a combination

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A combination of fillers and neurotoxin(botox, dysport) can be used for a liquid facelift.

It’s important to understand that this procedure is not a permanent solution. A liquid face lift is not permanent and the fillers that are used, which are mostly composed of hyaluronic acid, last around one year. Some products last much longer than others depending on the types that are chosen. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon

Liquid lift vs fat graft

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For many patients, fat transfer can yield good (and sometimes better) results in comparison to dermal fillers. Consult with an experienced and expert board certified plastic surgeon to understand your options. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Liquid versus fat.

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Thanks for this important question. The "liquid" part of the facelift involves using FDA approved off the shelf products that are generally done in the office under local anesthesia. These are attractive to patients who often see surgery as too aggressive and opt for something not involving surgery. Fat grafting requires surgery and some form of anesthesia with the longer recovery that is generally associated with these operations. All patients should carefully consider the pros and cons of choosing to go under the knife or not by choosing a the "liquid" facelift.

Best, Dr. ALDO :)

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 216 reviews

Fat in the right places

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In my hands fat grafting gives even better results than the synthetic fillers. This is for 2 main reasons. # 1 it is a more natural grafting material so it has similar mobility and tactile feel to your natural tissues. # 2 We also transfer growth factors and stem cells along with the fat. This gives the added benefit of rejuvenating the skin and dermal tissues. 

Fat grafting replaces lost volume. So it does give a lift in that sense. Similar to fillers it augments the tissue which then decreases shadows. Think about a tent. If you were to put a bunch of sand under the tent then the tip would actually be lifted and the only thing you did was add volume under the tent.

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Can a "liquid lift" generally done with voluma or radiesse also be done with good results using a fat graft?

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Yes, fat grafting offers, in my opinion, more versatility and better results, especially around the eyes.

The attached link provides more information.

I hope this helps.

Timothy R. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 75 reviews

Liquid Face Lift

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A liquid face lift refers to fillers and Botox and products such as Sculptra, Juvederm and Voluma with excellent results.  Fat grafting has terrible problems associated with it and cannot be repaired once it is done.  Please consult an expert in cosmetic facial fillers who is a board certified dermatologist.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.