LAM FACIAL PLASTICS

hi,
i'm sorry to hear of your situation. i don't have tremendous experience understanding the evolution of these situations although i tend to fix a few of them every year. you can do an archive search to better understand this topic since i have covered it before. in general, my best option is fat transfer to fix these issues. however, i have 3 major concerns doing yours:
1. your age. given your age, fat transfer may not be a safe option given the changes that will occur over your lifetime. you are very young.
2. indentations. if i am using fat asymmetrically, my fear is that the fat will grow unevenly over time and that would not be very safe. i tend to put fat symmetrically and evenly over the face.
3. you are early in your fat loss and you might experience more (not trying to scare you. just don't know. would recommend any people who have had that to share here with his/her thoughts to help me out.)
i think the best thing to do is to sit tight and see how things progress. hopefully it will improve. if not, it might be safer to work with restylane to fix the areas for now. i wish i could offer you more concrete suggestions. keep me informed here.
best,
sml

sorry, you can send me a private photo but to be honest, i probably would not do fat grafting given all of these limitations and risks. let me see a photo just to have a general idea. my honest feeling is please don't ask 10 docs about fat because someone without much experience or judgment will do it for you simply because you asked. this is my specialty and i have extensive experience with it. i don't have an immediate answer for correction for you.
best,
sml

just send it to my account in this forum.
sml

okay, you are definitely NOT a candidate for fat grafting. your slight indentation would be dangerously filled with fat. at this point, just given the mere looking at the photo, most likely you should just wait it out and see what happens. obviously, it is a 2-D photo and i am not seeing you in person. however, my feeling is that hopefully you should recover and just wait at this point. again, you might consider an inperson consultation with a physician in your area about this.
best,
sml

hmm, probably some restylane. you should get that locally and not come to me for it. i really think at this point you need some locally to look at it with his/her eyes because these photos make it hard for me to see what is going on.
best,
sml

ok. look forward to meeting you.

given what i saw on photos and your age, i would say most likely not. sorry. i can guarantee if you just blink you will get a PS to do anything you want. i simply know better. this is my forte and i know long-term safety issues with fat transfer. that being said, i never say never. let me look at you and give you proper counsel that reflects your situation. just remember the more you seek an answer someone will provide that answer for you and most likely that individual is the least scrupulous person or is desperate to make a buck. i will guide you when i see you toward a safe outcome. whether you choose to follow my advice will be up to you. as i move forward with you, i would recommend framing your thoughts by watching a video in my "1. consult" series about fixing previous plastic surgery. the tab is found on my before bar on every single page of this website. you can also go to my blog section and read a story about trying to forget your past. i will do everything that i can do to help you move forward. believe me. that is why i have been put on this planet. first heal your mind, then i can heal your face.
my thoughts and heart are with you,
sml

hard to say. i have tried it with modest success but i don't think i subjected my patients to repeated usage of it, which would have been better. therefore, i would think that it could help build some collagen for you in a relatively non-invasive and relatively safe way.
best,
sml