Hi, I'm 35 year old asian and underwent 3 fat transfer surgeries to correct my hollow eyes and flat cheeks. All of them didn't give satisfactory results, the last one I had (Feb 2009 done to eyelids and cheeks) the fat only lasted 2 months so I'm planning to have another one and would want it done by an expert, I came across your web site and would love to know more about your techniques :
1. I know I have high metabolism rate and face is the 1st place that I lose fat. So have you had any patients like me but the transferred fat could still last for a long time?
2. Like I said I have done several surgeries before by different doctors. One of the surgeries made my eyelids extremely bruised afterwards, and the one I did early this year, had no bruises at all. I noticed that the fat transferred in the bruising surgery lasted much longer. I have no idea what techniques the doctors used, I only know that the bruising surgery made use of syringes to graft the fat, versus the other one using liposuction method. I know you also use syringes, so do you know why would the surgeries differ in bruising? Does your fat grafting technique cause bruises?
3. Recently my under eyes are also losing volumne, do you do fat transfer to the under eyes as well? In terms of appearance how will it differ from injecting temp fillers?
4. To do a complete facial rejuvenation using fat volumizing e.g. under eyes, eyelids, cheeks, dimples, etc. will you need to do many injections? How will you handle anaesthesia?
5. I do not want general anaesthesia, for a complete facial rejuvenation, is it possible to perform under local anaesthesia or IV sedation (not the completely asleep type)?
6. Recently I'm experiencing pain in Trigeminal nerve (somewhere near the gum of my upper teeth). My doctor said it might be caused by the fat injection (done to the cheeks) done early this year. She was saying after fat cells are "gone" (or dissolved, or metabolized) or "moved" there will be tiny left overs materials (membrane) that may affect or press the nerve, which is causing the pain (even though the cheek is so far away from the upper gum). So does this make sense to you? Will the fat cells cause problems once they dissolved or mobilized? Will they run around my face and stucked with some part of the tissue and cause more pain? The reason I'm asking is, although I'm in the stage of treating the pain but once I'm cured I still want to do fat transfer!!