Fat transfer- permanent or not?

Thank you for your question. You are correct in that there are varying opinions on this topic. However, there is good literature to suggest that grafted fat does have long term survival. The problem is the amount of the fat that does reach this point is not readily predictable and depends on multiple factors. Hope this helps!

This is a good question.  You will get many different answers. 
Fat Transfer is a great procedure and the results are wonderful.  In the right hands, there should be long term permanent results.  Some physicians are able to demonstrate long term results and others are not. Each physician utilizes their own technique.  The Coleman technique was the first to demonstrate long term results and this is the main technique that is recommended.  There is no standardization of this procedure.  Due to  this fact, techniques will vary and therefore, results will vary from patient to patient.  If the correction is present in photographs  post procedure, then the results are expected to be considered long term.  I have been performing fat transfer since 1994 with long term results and permanence.  Due to the permanent nature if Fat Transfer procedure, care must be taken to perform it correctly.  This is extremely important due to maintain symmetry in the face.  It must be injected smoothly and in layers and long term results can be expected.
I hope this helps.  Good Luck