In what situation would a fat transfer be superior to an injectable filler, and vice versa?
Excellent question. I have found that injectable fillers are extremely reliable and predictable. My patients have been very pleased with the placement of dermal fillers in all areas of the face. Unfortunately, they are expensive and the hyaluronic acid products do not last long enough. I prefer dermal fillers in the lips and lower lids over fat. Fat does not last long enough to justify the procedure in the lips compared to dermal fillers, and of all the complications and irregularities that I see from fat grafting, the lower eyelid is the area where this occurs most often. I prefer the use of fat in the midface, cheek, and nasolabial folds. Fat grafting provides a great deal of fat for injection into these areas and the survival of fat in these areas is better than the survival seen in other locations.
Posted by Dr. Philip Schoenfeld