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I would not have fat grafting for this as it often causes irregularities and one cannot be certain how much of the fat will survive in this location. Lumps and bumps's are common even with an experienced injector unless very small amounts are used. If you have a lump it is very difficult to remove this without doing a facelift. For all of the above reasons that is why I recommend using Voluma by an experienced injector.
The extent of your facial atrophy from Parry-Romberg appears to be isolated to the soft tissue cheek area between the cheekbone and the jawline. There does not appear to be any bony changes so fat grafting would be the appropriate treatment. It is important before considering fat grafting with your condition that the disease is no longer progressive and has been stable for some time...otherwise the fat grafts will be absorbed quite quickly. While injectable fat grafting is the best treatment option it is important to know that it does not do as well in such affected tissues as in normal ones so more than one injection treatment may be necessary.
Hi Wendy. Thank you for submitting accurate photos with your question. I have done fat transfer for over 25 years. Most fat transfer is done for cosmetic reasons. But I have done a number of fat transfer procedures to correct defects that are congenital or after trauma or previous surgery. You appear to be a good candidate for fat transfer. The graft is completely natural and will last for decades.
This is a good question. I have done several of these cases with Fat Transfer. It is a very good treatment for this problem. The fat lasts and stays and ages with you. It is the preferred way to treat this condition in my practice. I have long term follow up as well. I have been doing Fat Transfer since 1993 with great results. The Fat is transferred from another area and re- injected into the problem area. It is harvested via gentle liposuction, then centrifueged to separate the fat out. Once this is done, it is injected into layers into the problem area. In your case it would be your cheek area. The goal is to achieve symmetry with your face. Other procedures such as a cheek implant would not be suitable due to the nature of Rombergs progresssive facial lost. The results for this are wonderful.
The treatment to your condition is complex and should not be addressed with a simple single procedure approach.Facial skeleton all imbalance should probably be addressed first.Attempting to create for symmetry with you so fat transfer may not lead to a satisfactory results.I say this for two reasons.First, fat transfer cannot create the amount of volume you will need to create symmetry or not nearly as well as other options.Secondly, adding fat where there should be bone structure for volume and support support may not look the same and will create a new sense of imbalance.Your best bet is to seek out an experienced board-certified plastic surgeon who has craniofacial experience.This may very likely require going to an academic center in finding someone who it's fellowship trained in craniofacial surgery.And accurate work up should be done first with proper assessment using MRI to determine true deficits of bone and fat.An accurate and precise treatment plan can be put together which would most likely include fat transfer but may include other options as well If you want to see what soft tissue volume can achieve for you then I suggest using hyaluronic acid based temporary filler's such as Restylane or Juvaderm.In doing so you should understand that fillers can create an unlimited amount of volume one fat transfer is limited in how much volume can be achieved with a single procedure.Fat transfer can only add a certain amount of volume per procedure.Over grafting with fat simply leads to a higher degree of fat resorption. To gain the long-term volume needed you may need to have more than one fat transfer procedure.hyaluronic acid-based fillers can be reversed by injecting an enzyme.This is important should you at tempt treatment with fillers then want a proper assessment for a permanent surgical solution.I did my training and plastic surgery at the University of California Irvine.I know many of the top-tier plastic surgeons in the area.Feel free to send me a private message if I can be of assistance giving names of plastic surgeons that are on top of their game.I would avoid the temptation of looking for a simplistic treatment to what is a complex problem.Best,Mats Hagstrom M.D.
Fat grafting to the face is definitely your first choice for improving the facial asymmetry that you have from Romberg's disease. A consultation with a fat grafting specialist will demonstrate how this can be achieved and how much volume you will need.
Hello I’m really sorry that you feel unhappy with your results and with the things that you’ve have deal with. You still have some choices to resolve your issue. I encourage you to visit a certified plastic surgeon to be evaluated again and give the best treatment recommendation specific on tha...
Dear Eli Cohen,A massage six months after a facial fat transfer should be fine. I would consult with your doctor if you have any additional concerns. Best regards,Nima Shemirani
Botox with fillers tends to be best for this problem.Any filler will need Botox to keep the filler or fat from being compressed over time by the frown muscle movement.