Would fat grafting help my thinning skin and acne scarring look better? (Photos)

Question

I have some areas of finely lined thinner skin on my chin and my acne scars are looking more pitted. I also have lines above my upper lip. This has developed over the last year. I’m 38. I would like to do fat grafting since it doesn’t cause allergic reactions. I can’t do lasers because I have an inflammatory skin issue and I have a disorder that affects the collagen fibers in my skin. I was also wondering what my least invasive options are for lifting the skin under my chin?

Kimberly Butterwick, MD · Answer

A new technique with fat transfer, nanofat sizing, may be used to improve skin texture but not as much for acne scarring. The primary use of fat transfer is to add volume to areas that are lacking, such as the chin or cheeks. The fat may be put through a sieve to produce micro- or nanofat. In your case, you cannot do lasers but perhaps you could do a combination with fat transfer and radiofrequency microneedling for the scars. Your medical history would need to be explored to find the safest treatment for you. I recommend scheduling a consultation with an experienced, board-certified dermatologist for additional assessment and a customized treatment plan.

Scott K. Thompson, MD · Answer

Greetings,
My opinion is that fat transfer would not be a good choice as it is better for overall volumization not for correction of fine lines or skin irregularities.  I would recommend consultation with a local specialist and possible treatment with filler.  Good luck

Jason Emer, MD · Answer

lasers, microneedling RF, botox to the chin and fillers like belotero help this, fat injections do not.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly) should be started now (see link).

if you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream.

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Mats Hagstrom, MD (license on probation) · Answer

I don’t think you can I find the facial fat transfer gives you the results You’re looking for.

I suggest having a few in person consultations for the local board certified plastic surgeons.

It’s important that you know would you collagen disorder is So you can disclose that during the consultation.

Best,

Mats Hagstrom MD

Would fat grafting help my thinning skin and acne scarring look better? (Photos)

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