Fat atrophy after laser. Which might be better: dermal or regular fat graft? (Photo)

Thank you for your question. In the right hands, well-placed Sculptra will give you great results. Keep in mind, it takes 3-6 months to see results with Sculptra. Sculptra is a great product for improving facial volume and collagen building, but for best results, I recommend using it in a combination depending on desired results. I combine Sculptra with other fillers, lasers, toxins and skin care to give immediate results.

Dear janay_smith,
it is hard to tell for sure without an examination. If you are considering a treatment, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dear JanayWithout a personal evaluation it is difficult to assess yourconcerns. However in general resurfacing  facial lasers particularly a "mild" one are not related to fat atrophy. Whatever the cause  is I would consider non surgical treatments. Sculptra is one that comes to mind for situations like you are referring to. Consult with a board  certified plastic surgeon with experience in facial contouring  and discuss your options and risks. At 23 I would be very cautious in choosing any procedures. Best wishes.

Facial volume restoration is best done with fillers. In comparison to fat transfer fillers are far more precise and predictable. They can be injected with tiny needles or cannula’s.Fat transfer on the other hand is more unpredictable, unforgiving and imprecise.A dermal graft requires open surgery. It’s probably not an option at all for you. I suppose dermis could be chopped up in little pieces and attempted to be injected through a syringe. I’m not quite sure what you’re referring to and without a picture comparing before and after your treatment we can’t really recommend anything specific for you.Fat transfer is probably the only realistic permanent solution. My suggestion would be conservative treatments having multiple rounds of treatment until your facial volume has been built up to your liking. Doing this every six months or once a year until you like the results is a far better option then Being over grafted or being left with an uneven contour or hard lumpy areas  of fat necrosis. I suggest having multiple in person consultations with board-certified plastic surgeons who have years of experience doing high-quality facial fat transfer or facial aesthetics and are keen on volume restoration as a big part of the practice.Best, Mats Hagstrom MD