Loss of facial volume is a natural part of the aging process, often leading to a sunken or hollow appearance in areas such as the cheeks, temples, under the eyes, and around the mouth. To restore youthful contours and balance, patients here at the practice of Dr. Eric Okamoto frequently explore two options: fat transfer and injectable fillers. While both techniques can enhance facial fullness, their applications, longevity, and treatment requirements differ significantly.
Understanding Facial Fat Transfer
Facial fat transfer, also known as fat grafting or fat injections, involves removing a small amount of a patient’s own fat and injecting it into areas of the face affected by volume loss. This approach can be appealing for multiple reasons. First, it uses the body’s own tissues, which will avoid potential allergic side-effects that other injectables might present. Second, it can create longer-lasting results when compared to other fillers. Third, if the patient is not gaunt and presents with enough extra body fat that can be harvested, the possible amount of facial volume restoration usually exceeds the typical amount of injectable fillers performed in the office.
Although fat grafting can be an effective solution for restoring lost volume, it does require a surgical setting and more extensive preparation than non-surgical options. Since facial volume loss is commonly found in patients seeking facial rejuvenation, Dr. Okamoto frequently performs fat transfer during facelifts and other facial plastic surgery procedures to complement and refine the final results. For patients considering volume restoration on its own—without a concurrent facial procedure—Dr. Okamoto may recommend exploring other filler options that can be done in the office.
Exploring Injectable Fillers
Fillers (other than fat) offer a non-surgical solution for replenishing facial volume with minimal downtime. Hyaluronic acid-based injectable fillers, such as Restylane® or JUVÉDERM®, and biostimulatory fillers like Sculptra® are commonly used to target specific areas of concern and create a smoother, more youthful appearance. These treatments are performed in-office, often in under an hour, and do not require general anesthesia.
Dr. Okamoto frequently discusses the benefits of fillers with patients experiencing facial atrophy or general volume loss. Fillers can be a practical and effective first step for those who are unsure about undergoing surgery or want to preview how subtle enhancements might look. Depending on the product used and the treatment area, results can last anywhere from several months to over two years.
Which Option Is Right for You?
The decision between fat transfer and other fillers often depends on your cosmetic goals, the extent of volume loss, and whether you are already planning to undergo facial surgery. While fat transfer may be ideal for surgical candidates seeking longer-lasting rejuvenation, fillers provide flexibility and precision for non-surgical enhancement.
Dr. Okamoto customizes every treatment plan based on the individual’s anatomy, aesthetic goals, and preferences. If you are considering ways to restore lost facial volume, scheduling a consultation is the best way to explore your options and determine the most effective approach for your needs. If you have any questions, please don’t hesitate to contact our practice.