I have had fat transfer to the under eye but I’m worried it’s over filled especially the appearance when I smile, I’ve become extremely self conscious with this and needed some advice on what I can do to help correct this, is fat dissolving injections non effective against this? Or is my only option to have it removed via micro liposuction?
January 18, 2024
Answer: Inherent problems with facial fat transfer. Facial fat transfer is by its very nature, imprecise, unpredictable, and potentially unforgiving if patients don’t like the outcome. In order to make an equal assessment, we need far more information. Facial fat transfer is by its very nature, imprecise, unpredictable, and potentially unforgiving if patients don’t like the outcome. In order to make a quality assessment, we need far more information. To make an assessment we need to see proper before and after pictures, and understand the timeframe of when your treatment was done. Fat dissolving injections are also unpredictable and have potential serious side effects. This includes potential facial nerve damage that can lead to partial paralysis. Reducing fat graft to the face is inherently, complicated and difficult and this is why I typically don’t recommend this procedure. For those who do embark upon facial fed transfer a conservative approach with the understanding the patients may need a couple of procedures to build up to an ideal volume is a better approach. Your provider is responsible for your outcome, and I suggest you follow up with him or her. I suggest you avoid the temptation of making your own assessment and prescribing your own treatments. Because of the unpredictable nature of facial fat transfer, and its long and steep learning curve patients should be very selective when choosing providers. RevisionBecause of the unpredictable, nature of facial fat transfer, and it’s long and steep learning curve, patients should be very selective when choosing providers. Revision surgery is generally far more difficult and complex then primary procedures so being in the hands of the right provider, is by far the most Important variable. To find the right provider I suggest patient schedule multiple in person consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics to your own. For revision work, ask providers to show you evidence of previous revision cases they’ve done. Obviously providers will have more examples of primary cases than revision work. An experienced provider should have no difficulty showing you before and after pictures of at least 50 previous patients. Highly experienced providers will in fact have access to hundreds or preferably thousands of before, and after pictures. These are the type of providers you’re looking for. Those who been doing The procedure successfully for decades with proven track record. Ultimately your provider is responsible for your outcome and patience are responsible for choosing the right provider. Being board-certified in plastic surgery with years of experience does not mean somebody is mastered anyone single procedure especially not highly complex procedures like liposuction and fat transfer. Best, Mats Hagstrom, MD
Helpful
January 18, 2024
Answer: Inherent problems with facial fat transfer. Facial fat transfer is by its very nature, imprecise, unpredictable, and potentially unforgiving if patients don’t like the outcome. In order to make an equal assessment, we need far more information. Facial fat transfer is by its very nature, imprecise, unpredictable, and potentially unforgiving if patients don’t like the outcome. In order to make a quality assessment, we need far more information. To make an assessment we need to see proper before and after pictures, and understand the timeframe of when your treatment was done. Fat dissolving injections are also unpredictable and have potential serious side effects. This includes potential facial nerve damage that can lead to partial paralysis. Reducing fat graft to the face is inherently, complicated and difficult and this is why I typically don’t recommend this procedure. For those who do embark upon facial fed transfer a conservative approach with the understanding the patients may need a couple of procedures to build up to an ideal volume is a better approach. Your provider is responsible for your outcome, and I suggest you follow up with him or her. I suggest you avoid the temptation of making your own assessment and prescribing your own treatments. Because of the unpredictable nature of facial fat transfer, and its long and steep learning curve patients should be very selective when choosing providers. RevisionBecause of the unpredictable, nature of facial fat transfer, and it’s long and steep learning curve, patients should be very selective when choosing providers. Revision surgery is generally far more difficult and complex then primary procedures so being in the hands of the right provider, is by far the most Important variable. To find the right provider I suggest patient schedule multiple in person consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics to your own. For revision work, ask providers to show you evidence of previous revision cases they’ve done. Obviously providers will have more examples of primary cases than revision work. An experienced provider should have no difficulty showing you before and after pictures of at least 50 previous patients. Highly experienced providers will in fact have access to hundreds or preferably thousands of before, and after pictures. These are the type of providers you’re looking for. Those who been doing The procedure successfully for decades with proven track record. Ultimately your provider is responsible for your outcome and patience are responsible for choosing the right provider. Being board-certified in plastic surgery with years of experience does not mean somebody is mastered anyone single procedure especially not highly complex procedures like liposuction and fat transfer. Best, Mats Hagstrom, MD
Helpful