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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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I’ve been looking into the pros and cons of dermal fillers

October 6, 2010 by Dr. Schoenfeld

Question:
I’ve been looking into the pros and cons of dermal fillers vs. fat transfer. I’m a 45 year old woman with sunken eyes and marionette lines. So far, the pros of the fat transfer outweigh the fillers by far. What are some lesser known risks associated with a facial fat transfer procedure?

Answer

Although there are some who describe facial fat transfer as a panacea, there are definitely shortcomings to the procedure that you should be aware of prior to undertaking the facial fat transfer procedure. Autologous fat transfer to facial areas that have thin skin such as the lower lids have the potential for having small imperfections such as lumps. I am extremely conservative with facial fat transfer around the eyes for this reason.

The longevity of the fat can also be somewhat unpredictable in some regions of the face. Fat injections to the mid face and nasolabial folds are my first choice. Fat injections to the lips does not last as long and I have abandoned the procedure. Obviously, as with any procedure, the risk of pain, bruising, hematoma, infection, and even reports of blindness is still present though quite minimal with autologous fat injections to the face.

Posted by Dr. Philip Schoenfeld

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Reviews

  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations,…

    • 5 stars
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