Can I inject the ligaments on my face? Like prolotherapy? I want to lift up my facial fat pads.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Dear Dazzling88574, "One man's "prolotherapy" is another man's Sculptra." The idea of stimulating skin tightening is not new. Since Egyptian times, threads were embedded into the skin to create an "aura" and firming. This gentle inflammation stimulates the cascade of collagen formation to restore and replenish natural collagen loss. Prolotherapy is a regenerative technique for strengthening larger muscles and tendons using a sugar solution embracing the healing cascade.  PRP or platelet-rich plasma and now poly-L-lactic acid injections are now used in the face to firm the much thinner connective tissues which become laxed with aging. My recommendations are:Consult with a well experienced, Board Certified Plastic Surgeon skilled in such minimally invasive techniques.Use Sculptra for generalized or targeted skin and soft tissue firming.Use Silhouette InstaLift suspension sutures for minimally invasive "lifting" of the ptotic soft tissues. I hope this is helpful. All the best!

It is impossible to inject the ligaments of the face. The facial muscle ligaments are so thin that when one is trying to poke them with a needle or a cannula they will most likely result in a disruption of the ligament rather than add volume. You also cannot tighten the ligaments of the facial muscles because those muscles are extremely tight and will always return to the original shape and place.  In the majority of patients, in order to fix the facial volume loss it is best to perform fat grafting. When fat grafting is performed by a plastic surgeon who's well-versed in such techniques, the results are natural and permanent. I hope this helps and good luck from New York City plastic surgery