Autologous (fat from yourself) grafts can be a great way to volumize age-related, deficient areas of the face. Depending how your own fat is processed it can even work well in the lower eyelids to fill in the hollow tear troughs or in the brows to restore their youthful fullness and positions over the orbital rim. This fat can be harvested from the neck, abdomen or even the thighs. Other areas of the face can also be treated: temples; cheeks; lips; nose; and the jawline. Fat transfer is generally safe, like dermal fillers, but can carry risk of intravascular injection or even blindness. To make it safer cannulas are used for the injection. Over-filling of some areas are typically needed to account for some natural resorption of the transferred fat. In areas of high facial movement there is a greater chance that fat will need to be reinjected. In general, in areas of low facial movement much of the fat can last 3-5 years or longer. An advantage over dermal fillers is that the injected fat won’t cause the blue tyndall effect. If a patient who has undergone fat transfer there is a risk of the fat growing if they undergo substantial weight gain. Fat transfer can be performed in the office under local anesthesia. Shown below is an example of fat transfer to the lips giving nice improvement of the symmetry and restoring youthful fullness that looks natural by maintaining natural and ideal proportions.
Fat Transfer to the nasolabial folds (parentheses) and melolabial folds (marionette lines)