“Dr Sin Yong, I want to look younger. My friends suggested that I go ahead for fat grafting to improve my facial volume.“
Is that the best option for me?
Fat Grafting has been around since the 1900s and has progressed to allow the improvement of volume in multiple regions apart from just the face. Think about buttock augmentation, breast augmentation, etc etc
Dermal Fillers used to be bovine collagen in the 1970s and have gone on to include hyaluronic acid fillers since the 2000s, a natural progression of technology and research.
What does this mean for patients?
As a patient, you would need to consider the following factors
- Down Time– Fat grafting will always involve a surgical procedure to harvest the fat, whereby post procedure, there will always be some swelling and bruising over the donor site. Fillers are pre manufactured and ready to use in sterile syringes.
- Fall Back Plan – The question to ask here is whether you are certain of the end result. If you have tried fillers before and like the resultant look, you might be a good candidate for fat grafting if you seek permanent long term results. Conversely, if you have not seen a possible end result before, jumping straight to fat grafting might be a huge risk as you will have to bear the end result as longevity is relatively permanent.
- Region to be treated – Certain areas such as the chin, jawline and nose will require a filling with increased hardness and stronger lifting effect. In such regions, fillers with strong lift are superior to fat grafting to provide the ideal result.
- Are you ready? – Ask yourself this over and over again before going for fat grafting, as this is something that is minimally reversible. It can dramatically improve your looks permanently, but also carries a possibility of permanently changing your facial contour in a way you might not like.
Dr Sin Yong Recommendations
Depending on the area treated, the solution might not always be to fill the area with fillers. Take dark eye circles for example, we are always looking at a possibility of increased pigmentation, increased vascularity, or lack of volume. Using fat grafting or fillers as one size fit all treatment will not produce the superior results compared with using multiple modalities to target the root cause of the problem, which might be increased blood vessels or pigments.
Dr Sin Yong trains other doctors in dermal fillers and is an advocate of advanced fillers such as Radiesse and Ellanse.
Based on the region treated, he would recommend the use of advanced fillers like Ellanse /Radiesse if permissible, giving especially good results on the nose as compared to using HAs. HAs will have to be selected in other regions like lips /tear trough, where it would not be permissible to use advanced fillers.
Dermal filler treatment or fat grafting is a minimally invasive procedure and cases of complication have been reported. It is hence important to select an adequately trained physician to perform the procedure for you. Do consider all the above factors before proceeding with such a procedure.
Dr Sin Yong Recommendations
Depending on the area treated, the solution might not always be to fill the area with fillers. Take dark eye circles for example, we are always looking at a possibility of increased pigmentation, increased vascularity, or lack of volume. Using fat grafting or fillers as one size fit all treatment will not produce the superior results compared with using multiple modalities to target the root cause of the problem, which might be increased blood vessels or pigments.
Dr Sin Yong trains other doctors in dermal fillers and is an advocate of advanced fillers such as Radiesse and Ellanse.
Based on region treated, he would recommend the use of advanced fillers like Ellanse / Radiesse if permissible, giving especially good results on the nose as compared to using HAs. HAs will have to be selected in other regions like lips / tear trough, where it would not be permissible to use advanced fillers.
Dermal filler treatment or fat grafting is a minimally invasive procedure and cases of complication have been reported. It is hence important to select an adequately trained physician to perform the procedure for you. Do consider all the above factors before proceeding with such a procedure.
Dr Sin Yong is the Medical Director of Goken Luxe, Goken Aesthetics Practice.