Dr. Sam Lam Plastic Surgery Forum

Hi Dr Lam,
Does a fat graft work on someone who has lost considerable fat in and around the chin and jaw line or Would you say the fat is less likely to fully take becasue these areas are highly mobile.

thanks so much --

Generally, the fat holds pretty well in the chin. As we age, we lose both bone and fat. If you were born already with a small chin and especially if you are a male, a chin implant is better and more predictable for what is called projection (the degree to which the chin sticks out). However, if you are aging and especially female, then projection is oftentimes not as critical (unless you really have a small chin) then fat grafting can cover a multitude of sins even for a slightly underprojected chin. Where fat fails is completely getting rid of a jowl or even managing fine lines or puppet lines around the mouth. It can be done but the success rate for doing so in my opinion is poor.
best,
sml

Gosh when do you sleep? This is really informative stuff. Undertaking anykind of procedure is really very scary and so many things can go wrong -- it is really important to have realistic expectations and tons of accurate information from a dr rather than PS forums and blogs where typically it's the blind leading the blind.

i sleep at night! just kidding. i tend to check these questions between patients and when i have a free moment at home. hope they are helpful to you guys.
best,
sml