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I am 29 years old and am considering fat injections for my face. I have high...

Q:

I am 29 years old and am considering fat injections for my face. I have high cheekbones and began to notice that my face is not as full-looking as it used to be. I tried gaining weight but my face is still sunken in. My question is, will fat injections help my sunken-in face?

A:

Loss of facial volume or sagging of the face is common with aging. Treatment options to restore the face include fat injections, cheek implants, or a facelift. At the age of 29, it is doubtful a facelift would be indicated for you, but cheek implants may improve the fullness of your face. The risks of cheek implants include the possibility that the implants could become infected or could move out of position. However, the disadvantage of fat injections is that the fat has a tendency to be dissolved by the body over time, thereby losing the desired volume change. The success of fat injections is very dependent on the techniques used to take the fat from another area of the body and then to inject it. I would suggest you consult with a member of the American Society for Aesthetic Plastic Surgery to see if you are candidate for any of these procedures.

A:

 

Structural Fat Grafting: permanently restoring youthful facial contours

Structural fat grafting is a powerful tool for correcting one of the primary processes of facial aging: the gradual loss of facial soft tissue volume, which primarily represents the atrophy of facial fatty tissue. The importance of restoring facial fullness cannot be emphasized enough, for without it, very few facial cosmetic surgical procedures are truly rejuvenating. As we age the skeletal features of the face become more obvious, and create subtle visual clues that tell the observer 'this is an older person'. Fat atrophy is often very obvious when it appears as hollowness in the temple area and as flattening of formerly full cheeks, but can also exist as more subtle changes that still convey an appearance of advancing age, such as the development of a hollow in the space between the upper lid and eyebrow, or as indentations in a formerly smooth and gently curving jawline.

 

 

In my Raleigh, NC plastic surgery practice, fat grafting is not an afterthought that is thrown into the surgical plan for the occasional patient. It is a key component of almost every major facial rejuvenation surgery that I perform. It is in fact that very first part of the surgical procedure for my patients undergoing a full facial rejuvenation surgery.

Fat grafting also gives the surgeon the ability to provide a minimally invasive, quick recovery solution for some of the earliest signs of facial aging, in many patients long before they could or should consider a more involved (and much longer recovery) procedure like a facelift. Most people show evidence of facial soft tissue atrophy in their thirties, long before they develop the degree of skin laxity that warrants skin redraping and removal. So younger patients now have a means for 'turning the clock back' by maintaining or restoring facial fullness through structural fat grafting. These enhancements look beautiful and natural, not like surgery, and over and over I hear fat grafting patients tell me that "none of my friends or co-workers can figure out why I look so great"

Find plastic surgeons who perform fat grafting regularly and view many before and after photos and speak to patients before selecting the physician right for you.

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