Dr. Sam Lam Plastic Surgery Forum

I had a fat transfer on my face in October 2007. During my last visit in late 2008, you agreed with me in that some areas of my face, specifically under my eyes might need to be re-done. During this past year, as I arrived at my 2nd year post-op, I feel that I have lost a lot of the fullness of the face that I had during the 1st year. Is that normal? How much do you charge if the procedure needs to be re-done? I hate to think that I need to invest $8K every 2 years to keep the results. Maybe some other temporary procedures might be better and at less cost.

even 2 years out, i do not plan on charging you. let me see where you are. if it is just a little bit, then restylane is safer but that would have to be charged. most people continue to improve into the second year but obviously not everyone. if you are in town, make an appt. so that i can see. if you are from out of town, let me see a photo. usually one of two things happens when i see you:
1. you look a thousand times better but both you and i forgot exactly where you started and you need a minor touch up. if it is minor then fat may not be a safe way to go.
2. if you truly lost a lot of fat from years 1 to 2, that is typically due to aging because after a year the fat has blood supply and sticks. however, there are always exceptions and you might just need more fat which is no problem if it did not take as well as you and i had thought.
best,
sml