Reading the posts on realself, and the various problems that people have had with fat transfer, it is not clear to me which areas of the face that fat transfer works best: Marionette lines? Hollows in cheeks? Add volume to flat cheeks? Lines around upper lips? Above eyebrows at temple? Below eyebrows? Lines between eyebrows?
February 10, 2015
Answer: Areas of the face where fat transfer is most successful Fat transfer will work best when treating loss of volume in the face rather than lines. Typically the best take is going to be around the eyes (both upper and lower) and in the cheek and buccal region. Areas where there is a lot of movement such as the mouth can be successful but are more difficult to get predictable results. Treating the areas that you circled will usually result in an unsatisfied patient. You can get an improvement but it is usually much less than desired. These areas which are more lines will respond much better to injectable fillers particularly hyaluronic acid. There are two other general rules for fat vs fillers: Fat is for large volume replacement over significant parts of the face but the correction is not very precise (fat take is unpredictable). Fillers are extremely predictable and precise and excellent for more isolated treatment areas. When thinking about long term answers, it is much better to build a foundation of volume with fat which is very long lasting and then use fillers on top to get a more precise correction.
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February 10, 2015
Answer: Areas of the face where fat transfer is most successful Fat transfer will work best when treating loss of volume in the face rather than lines. Typically the best take is going to be around the eyes (both upper and lower) and in the cheek and buccal region. Areas where there is a lot of movement such as the mouth can be successful but are more difficult to get predictable results. Treating the areas that you circled will usually result in an unsatisfied patient. You can get an improvement but it is usually much less than desired. These areas which are more lines will respond much better to injectable fillers particularly hyaluronic acid. There are two other general rules for fat vs fillers: Fat is for large volume replacement over significant parts of the face but the correction is not very precise (fat take is unpredictable). Fillers are extremely predictable and precise and excellent for more isolated treatment areas. When thinking about long term answers, it is much better to build a foundation of volume with fat which is very long lasting and then use fillers on top to get a more precise correction.
Helpful 1 person found this helpful
January 26, 2015
Answer: Fat transfer to the face The technique of fat transfer to the face is very technique dependent. Fat has to be placed as droplets in good vascularized tissue to ensure good fat take. The mid-face is an excellent place to fat graft as well as the temple region. The best way is to combine fat grafting with facelifting as fat restores the volume lost due to facial aging and the facelift will help to restore tissue to the correct anatomical position. Filling in Marionette lines with just fat is not as effective as lifting and filling with lines with fat. Adding volume helps to restore a youthful fullness to the face. It also seems to have additional beneficial effects such as improving the quality of the skin with the stem cells that are in the fat graft.
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January 26, 2015
Answer: Fat transfer to the face The technique of fat transfer to the face is very technique dependent. Fat has to be placed as droplets in good vascularized tissue to ensure good fat take. The mid-face is an excellent place to fat graft as well as the temple region. The best way is to combine fat grafting with facelifting as fat restores the volume lost due to facial aging and the facelift will help to restore tissue to the correct anatomical position. Filling in Marionette lines with just fat is not as effective as lifting and filling with lines with fat. Adding volume helps to restore a youthful fullness to the face. It also seems to have additional beneficial effects such as improving the quality of the skin with the stem cells that are in the fat graft.
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