Facial Fat Transfer

Fat injections as dermal fillers

Some patients may want to consider fat injections, which use fat harvested from the patient's own body which can then be re-injected to enhance facial fullness, fill creases or build up shallow contours.

Fat injection requires a more extensive procedure than "off-the-shelf" soft tissue fillers.

A "donor area" must be determined (such as the abdomen or buttocks) and liposuction is used to extract the fat. The suctioned fat can then be transferred to the face, as a graft.

The grafted fat then has to redevelop a blood supply in order to survive. About 50% of the fat injected will survive, and the surviving fat will last forever.

In the face, most of the transferred fat usually survives, but the results can be a bit less predictable. Typically, multiple fat transfer procedures will be needed to achieve desired results.

The use of fat transfer involves additional discomfort in the donor area. This is a minor surgical procedure that can be performed in the surgeon's treatment room or in an operating room.

During your dermal fillers consultation be prepared to discuss:

• Your goals

• Medical conditions, drug allergies, and medical treatments

• Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use

• Any past treatment with soft tissue fillers, botulinum toxin therapy, laser or other non-surgical facial procedures, as well as any prior facial surgery

Your surgeon may also:

• Evaluate your general health status and any pre-existing health conditions or risk factors

• Discuss your available options

• Examine and measure your face

• Take photographs

• Recommend a course of treatment

• Discuss likely outcomes of using soft tissue fillers and any risks or potential complications

Your plastic surgeon will carefully explain:

• Your course of treatment

• The type of filler recommended in your case and why

• Expected results

• The longevity of the result

It's important you understand all aspects of dermal fillers. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of pre-treatment stress. Don't be shy about discussing these feelings with your plastic surgeon.

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