Writer: Dr Anahita Vali
Dermatologist & venereologist
Background: As one ages the underlying soft tissues of the face progressively lose their elasticity and volume. Rejuvenation is done by 3R, Relax, Resurfacing & Refill. Which is the best choice for cosmetic refill? Is always the Fat is the best filler?
OBJECTIVE: To determine the best choice for tissue augmentation individually with considering patient factors e.g. anatomical area, age, down time, cost…
METHODS,&MATERIALS: A literature search of PUBMED & Google scholar was conducted of all English-language articles published from 2000-2017.
RESULTS: Filler & fat are both safe & effective in experienced hands but expert advice must consider different factors e.g. extent of volume loss, anatomical site, cost, patient preference, allergy & autoimmune disease…. The choice of the best must be based on the patient’s particular needs and the specific defects that need correcting.
CONCLUSIONS: The best choice for refill of tissues depends on several factors about patients. Fat is better for large volume loss (more than 10 ml), body, cheek, temporal, zygoma & has more longevity. Filler (Hyaluronic Acid) is better for lip,periorbital,small volume loss &has little down time, no need to harvest &overcorrection. Fillers are more precise, but lack the longevity of fat.
Key words: Fat transfer; filler, Rejuvenation, Tissue augmentation
