Although surgical techniques are still used to resolve the downward decent of facial features such as the cheeks and eyebrows, the concept of volume enhancement by fat transfer is revolutionizing facial aesthetic surgery. To understand this concept, think of the face as a three dimensional structure that loses volume with aging. The loss of volume in the face is similar to a balloon that loses air or volume. As air is removed, the balloon becomes lax and wrinkles. In the face, the loss of volume occurs mainly in structures and components just underneath the skin, in the subcutaneous layer. Volume is important because it provides support and structure for the skin, thereby keeping the skin tight around the cheeks, eyes, and mouth. As the loss of volume progresses the skin becomes less taut and we witness the development of wrinkles, creases, and furrows. Simply removing or pulling excess and sagging skin may not be enough, and can actually lead to a pulled or stretched appearance.

Newer techniques seek to restore youthful contours by replacing what the aging process has taken away. The process of facial volume loss affects some people by creating hollowness around the eyes, causing the eyes to look deeper set within the eye sockets. Other signs include hollowing in the temple and cheek areas. We have found that using one’s own fat to restore lost volume is an excellent method to bring back softer and more youthful contours. Our methods are based on microdroplet techniques that achieve smooth, long lasting contours, with minimal downtime. Fat grafting and transfer procedures can last longer than any other injectable filler available today with very little risk of complications. The technique of fat transfer or augmentation can be combined with facial rejuvenation surgery as well as performed as an isolated procedure.

Dr. Lucy Barr is a dual board certified facial plastic surgeon performing Botox, fat grafting and filler procedures in Salt Lake City, Utah.