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Dr. Batniji reviews upper and lower eyelid procedures. read more>
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Question:
Where is the fat harvested for use in a facial fat transfer? Is the procedure invasive?
Answer:
Fat is usually harvested from the abdomen. Occasionally, patients desire body contouring (liposuction). I work with a board certified plastic surgeon who performs the body contouring procedure; he then provides me with the fat. I process the fat and re-inject it into areas of the face.
Question:
I am quite interested in cheek implant surgery. I have wanted more pronounced cheekbones for several years but for me that was only a pipe dream. Now I have noticed some sagging in my cheeks, perhaps even the formation of jowls. Would cheek implants alleviate these skin issues or do I need a cheek lift?Answer:
Cheek implants are an excellent option to achieve volume in the cheek region. Another alternative is fat injection. A non-surgical option is injection with filler, such as Radiesse or Juvederm. To address jowl formation and sagging of cheeks, you may benefit from either cheek lift or, more likely, a facelift.Question:
I am a 46-year-old male. I recently had fat injected into the hollows of my eyes. The swelling seems to have gone down but there are tiny lumps under my eyes now. Could this be a sign that I'm rejecting the injection?
Answer:
These lumps could be actual fat. These areas sometimes dissipate on their own. Occasionally, steroid injection helps decrease the appearance of lumps if there is swelling associated with it. However, if the lumps persist, it may be a lump of fat, in which case, resection may be necessary. I prefer using a hyaluronic acid to the lower lid hollows. If there is a persistent lump from hyaluronic acid, this is easily treated with injection of hylauronidase, an enzyme that breaks down the hyaluronic acid, usually within 24-48 hours.
Posted by Rami K. Batniji, M.D., F.A.C.S.
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