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 11

Liquid facelift vs fat grafting

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.  


Honolulu Plastic Surgeon
4.6 out of 5 stars 24 reviews

Liquid facelift can use a combination

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
5.0 out of 5 stars 29 reviews

Liquid lift vs fat graft

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 37 reviews

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Liquid versus fat.

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 198 reviews

Fat in the right places

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,

DrC

Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

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

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 61 reviews

Liquid Face Lift

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

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 71 reviews

Liquid face lift

Thank you for asking about your liquid face lift.

A liquid face lift adds volume to the face. The volume can come from filler or from fat. In general, the off-the-shelf fillers will work as well as or better than fat. The problem with fat injections is that results are unpredictable and poor ones hard or impossible to correct. With fillers, results are predictable and bad results can, if necessary, be dissolved.

Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Fat Grafting

Absolutely.  Fat is an excellent filler and offers more permanent results than hyaluronic acid fillers.  I use fat as a filler when I am performoing facelifts on patients who require additional volume or with eyelid surgery.  Fat will resorb to some extent.  That is, some of it will go away and it is hard to predict exactly how much will resorb.  So, secondary fat injections are often necessary.  There is also a donor site or area where the fat is harvested that you dont have with fillers.  

I usually recommend that patients who are considering fat injections, do other fillers first.  It is a good way to gauge if the patient will like the fat and how much thhe patient wants filled.  Sculptra is another filler that is an office proceedure and the Sculptra can last several years.  As the others have said, talk to your surgeon about all the pros and cons of various fillers.

Edward J. Ricciardelli, MD
Wilmington Plastic Surgeon
5.0 out of 5 stars 32 reviews

Can A "Liquid Lift" Generally Done With Voluma Or Radiesse Also Be Done With Good Results Using A Fat Graft?

Thank you for your excellent question.  Fat grafting is certainly an option for restoring age-related facial volume loss and providing a lift.  Fillers offer immediate results with little to no downtime.  Beautiful and natural results can be achieved.  Please be sure to see an experienced plastic surgeon to fully discuss your goals and expectations in order to determine the best treatment plan.  Hope this helps and best wishes! 

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 30 reviews

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.