I see many patients who have appropriately done a lot of research on facial rejuvenation surgery before consulting with me. Many times, they have also seen other surgeons. Not an office day goes by that I don’t get asked about why I don’t prefer to use fat injections in the face during my facial rejuvenation surgeries.

The primary reason is the results are hard to control or predict. When the fat “takes” well, it responds to body weight swings by getting larger if one gains weight and shrinking if one loses weight, which is not always what patients want. If the fat takes poorly, it gets reabsorbed by the body. If you’re lucky, it just disappears, if you’re not, it leaves lumpy scar tissue behind.

Compare this scenario to using facial fillers, such as Juvéderm®. No lumps, no unpredictable resorption, no scar tissue. Yes, it does require an annual re-injection, but I think this infrequent maintenance is well worth the predictability of a wonderful result. As we improve our knowledge of how to harvest and prepare the fat prior to re-injection, this may become a very elegant treatment tool, but for now, it is too rudimentary and unpredictable in my opinion to use regularly.

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