Fat Transfer - A genuine alternative to facial fillers. And in some cases the cure for filler fails.

[@shinyjohn6568]

A very straight to the point talking surgeon, i like this guy

[@angelinavitaleco9640]

Thank you for such honesty and truth, direct, clarity and the volume of info. Please continue to educate.

[@alanwisdom7777]

I always say that fat transfer is way better than fillers in every case and the result is much more natural but it have to be done in very expert hands

[@adamgoodwinsurgery]

there are pros and cons to both but overall I think fat transfer is a better technique, albeit more invasive.

[@RaniaA75]

Can fat be placed under eyes?

[@adamgoodwinsurgery]

Yes it can and in my view its a better solution than filler for most patients. Thanks for the question.

[@crikeymos22]

Thank you Dr Goodwin. Seriously looking into this. Is this nanofat the same as stem cell therapy under the eyes?? Also could the jowls be harvested and the fat used in the mid cheek area for a little lift. Maybe put some fat into the posterior jaw too to enhance jowls more. Thank you for these videos super helpful. ❤

[@adamgoodwinsurgery]

fat cannot remove jowls. only lifting. nano fat and stem cell are probably the same thing. thanks for watching,

[@Southerncomfort420]

Can this be done in the under eye hollows?

[@adamgoodwinsurgery]

no simply.. sorry

[@paigemcdonald568]

Do you have any information on the success rate of fat transfer patients who have casually smoked? Maybe a handful of times a year for several years. Do you think the fat would be a lot less likely to survive or is that statistic more true of regular smokers?

[@adamgoodwinsurgery]

good question. there is no data but many factors can affect the viability of grafted fat. active smoking certainly makes a difference but previous filler, thin faces, previous surgery all decrease the viability.

[@paigemcdonald568]

@@adamgoodwinsurgery that's super helpful, thank you so much!!

[@josipag2185]

Lips? Is there anything good for lip aumentation and I mean normal look, so lower lips mostly.

[@adamgoodwinsurgery]

yes fat transfer is a great technique for people over 40 IMO.

[@paulaao]

And what is your opinion about fat transfer to the scalp. I am bald and I am ok with with but I dont like the uneven shape it have, is not that much . But first, before doing this would like to know if is feasible and safe. What are your thougts?

[@adamgoodwinsurgery]

sadly I have no experience and no insight into that technique,. not something anyone has ever asked me sorry. thanks for the message though.

[@indiankitchenrecipes2546]

What about fat transfer on forehead decompression caused by crinactomy?is it safe doctor

[@adamgoodwinsurgery]

apologies I am not sure I understand your question?

[@indiankitchenrecipes2546]

@adamgoodwinsurgery could you please research and give me feedback..i will be very thankful to you 🙏

[@TSlowdive]

Thank you Dr. Goodwin. Would someone who had a HA injected in a tear through area be a good candidate for a lipofilling in the same area? Would HA filler have any impact on fat transfer? How long would you need to wait to do a fat transfer after HA filler injected in the same area?

[@adamgoodwinsurgery]

sadly HA causes scarring which ,ales fat uptake less predictable. its not a non starter but its cause for extra consideration.

[@TSlowdive]

@@adamgoodwinsurgery Thanks a lot for a prompt reply. I'm thinking about fat transfer (lipofilling) to treat my under eyes hollows, but am not sure yet. I though to inject HA filler in the meantime until I will decide if I will do a lipofilling or not. I have 2 more questions please: 1. What might cause lumps and bumps under eyes after a fat transfer (lipofilling)? Can it be avoided? 2. I'm skinny person and one doctor told me that micro fat injected under my eyes (lipofilling) will be visible in this area on my face and didn't recommend me to do it. When I came to know about the lipofilling treatment for the under eye hollows, I had such high hopes. But I see that doctors either strongly against it, or very encouraging about this method. I'm totally lost now. Thank you in advance for sharing your thoughts!

[@leliaelbert7014]

Hi, great info! and what if you dont have enough fat to transfer. Is gaining weight an option? thanks! regards

[@adamgoodwinsurgery]

everyone has enough. For faces we only need a table spoon or 2 teaspoons usually.

[@leliaelbert7014]

@@adamgoodwinsurgery ok, i was thinking about other areas...

[@adamgoodwinsurgery]

it is but if you lose it again afterwards then it will disappear. there is always some somewhere.

[@RaeRaesRaveReviews]

Can this be used for volume loss in the temples and just above the eyelid/below the eyebrow? (I have some weird fat loss there above my left eye only).

[@adamgoodwinsurgery]

it could but its not super accurate. it does give smooth results though.

[@crikeymos22]

I thought I had written that myself. Exact same problem. The volume loss on temples too causing eyebrow tail to vanish.

[@sallyjames1236]

Is fat transfer good for hands?

[@adamgoodwinsurgery]

It’s ok yes. Not a miracle cure but worth trying as there isn’t much else available.

[@LoveYourLife2day]

Can fat be transferred from the cheeks to the lips ?

[@adamgoodwinsurgery]

theoretically but never heard anyone do it.

[@rhondas3017]

You said to dissolve existing filler 1st, but I had Radiesse placed in cheeks, which is not HA, so can’t be dissolved. Is that correct? If so, does that mean I’m not a candidate?

[@adamgoodwinsurgery]

radiesse cannot be dissolved. it causes a scar reaction which creates the volume. it still falls and fades over time though so not to be ruled out.

[@adamgoodwinsurgery]

it cannot be dissolved. it doesnt mean you can't have FT but the conversation about what can be achieved would be slightly different.

[@denisedenomme361]

Is it very expensive to have the fat transfer instead of filer for the cheeks?

[@adamgoodwinsurgery]

at my practice its about the same price as 4cc of filler. but of course it can be permanent.

[@adamgoodwinsurgery]

in ky practice the costs are not too dissimilar.

[@snogglewort1]

Dr Adam, I had chin lipo where too much fat was removed causing an indent, is fat transfer an option for this area to correct? I really don’t want anymore big surgery like a neck lift, I just want my old fat neck back and to look normal again. I feel deformed and look so much older than my 40 years. Is there any hope for me. I am in manchester. Thanks.

[@adamgoodwinsurgery]

it is an option yes. sadly none of these techniques are without risk, sucking out or putting back in.

[@KChapman6079]

I had no idea that fat taken from the abdomen still thinks it’s abdomen fat after being injected into the face and will impact the face in the event of weight gain😳

[@mayenessien9370]

Would love to have nasabloid folds done/cheek support loss. What's the cost? Thank you

[@mayenessien9370]

I've never had fillers

[@adamgoodwinsurgery]

as I mention in the video its not a great treatment for that particular problem. works better for cheek volumising which in turn will soften the folds. where do yo live?

[@mayenessien9370]

@@adamgoodwinsurgery i live in leicester. I have a zoom appointment with you booked for Feb. I look forward to hearing your advice on my folds/cheek. Many thanks

[@paigemcdonald568]

Can the fat be harvested from anywhere besides the abdomen? Like from the chin for example?

[@adamgoodwinsurgery]

yes it can. in fact under the chin is a great place to harvest as if you are injecting into the face it reacts in just the right way. thanks for the question.

[@paigemcdonald568]

@@adamgoodwinsurgery thank you so much!!

[@beaumontrothchild5766]

You said transferring abdominal fat to face is not good but why don't you just transfer double chin fat to labial folds and marionette lines? Wouldn't that work much better? Because it is fat harvested from the face rather than an abdomen.

[@adamgoodwinsurgery]

yes it does work great. I mention this in my video I believe but it's a common technique. thanks for the comment.

[@miladabravenec14]

He’s the BEST

[@kathleenking47]

2:03 It could be a reason decades ago, they didn't want women in sports burning too much fat

[@Csuporka7612]

What is your opinion about fat transfer for infants ( 6 yo ) for reconstructive reasons in face?

[@adamgoodwinsurgery]

probably ok but the indication would have to be very specific.

[@Csuporka7612]

​@@adamgoodwinsurgeryit is specific. After a giant nevus removed it is to reconstruct or even out the small differences.