FACIAL FAT TRANSFER

Fat grafting is less predictable than most facial procedures, and some loss is expected in everyone. Fullness that vanishes within two weeks, however, usually reflects swelling going down rather than fat dissolving: the early volume is largely fluid, and what remains after a few months is the true take. Survival depends on how the fat is harvested, handled and placed, the recipient area, and individual factors such as smoking and weight change; the nasolabial and marionette areas move...

There is some truth to it, but it is often overstated. Grafted fat that survives becomes living tissue; fat that does not survive can leave small areas of firmness or fibrosis, more so after repeated sessions or large volumes placed in one plane. In my experience that rarely prevents a later facelift, though it can make the dissection in certain areas more tedious, which is one reason a surgeon wants your full history. Multiple sessions are not forbidden either: small, well-distributed...

Dark circles are usually a mix of three things, and each responds to a different treatment, so it helps to sort them out before choosing anything. Hollowness is a shadow problem: the tear trough and the junction between the lower lid and cheek sink in, and that shadow reads as darkness, especially under overhead light. Pigment is true brown discoloration in the skin, which is common in Fitzpatrick IV to V skin and stays the same no matter how the light hits it. Visible vessels give a bluish...